Prestige Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

7920 Issued in TN

Legal business name

PRESTIGE PHYSICAL THERAPY

Practice address

1159 Trotwood Ave Ste B
Columbia, TN 38401-3038

Phone

(931) 901-0318

Fax

(931) 901-0319

NPI assigned

Nov 26, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brian Paul Coggins, P.T.NPI 1407096829

Title

Owner

Phone

(931) 722-2778

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Paul Coggins, P.T.

  • Physical Therapist
  • Waynesboro, TN
  • NPI 1407096829
  Medicare reassignment Care Compare group NPD Authorized official
• Adam Freeman Bedwell, PT, DPT

  • Physical Therapist
  • Waynesboro, TN
  • NPI 1821426396
  Medicare reassignment Care Compare group NPD
• Kimberly Dean Brooks

  • Physical Therapist
  • Columbia, TN
  • NPI 1124918230

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Lexie Carroll

  • Physical Therapist
  • Columbia, TN
  • NPI 1396595872
  Medicare reassignment Care Compare group NPD
• Haley Durham Hobbs

  • Physical Therapist
  • Summertown, TN
  • NPI 1144027061
  Medicare reassignment Care Compare group NPD
• Emily McCaig

  • Physical Therapist
  • Linden, TN
  • NPI 1306482203
  Medicare reassignment Care Compare group NPD
• Jennifer Treece

  • Occupational Therapist
  • Adamsville, TN
  • NPI 1679877930
  Medicare reassignment Care Compare group NPD
• Macy Jaye Redmon

  • Physical Therapy Assistant
  • Adamsville, TN
  • NPI 1083476949
  NPD
• Lucas Baker

  • Physical Therapist
  • Waynesboro, TN
  • NPI 1356115653
  NPD (past)
• Jacoby Brewer, PT, DPT

  • Physical Therapist
  • Waynesboro, TN
  • NPI 1386136125
  NPD (past)
• Matthew Cunningham, DPT

  • Physical Therapist
  • Waynesboro, TN
  • NPI 1336553494
  NPD (past)
• Susan Elaine Groft

  • Occupational Therapist
  • Waynesboro, TN
  • NPI 1437621554
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1053566463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 TROTWOOD AVE STE B",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013038",
            "telephone_number": "931-901-0318",
            "fax_number": "931-901-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 TROTWOOD AVE STE B",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013038",
            "telephone_number": "931-901-0318",
            "fax_number": "931-901-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "COGGINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-722-2778",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "7920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Columbia, TN
• Providers in Columbia, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.