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Agilitas USA Inc

Organization Active NPI Physical Therapy Clinic/Center · Hermitage, TN

NPI 1104068063 · NPPES record last updated Oct 10, 2019

Key facts

NPI
1104068063
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
License
7409 (TN)
Legal business name
AGILITAS USA INC
Practice address
3810 Central Pike Ste 102
Hermitage, TN 37076-3495
Phone
(615) 915-5000
Fax
(615) 915-5002
NPI assigned
Mar 24, 2009
Organization subpart
Yes
Parent organization (as reported)
AGILITAS USA INC

Authorized official

Name
Andrew Lange
Title
Cfo
Phone
(615) 373-1350

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 73

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

View all 73

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041115000337 TN Part B Supplier - Clinic/Group Practice 3375454648 Receives reassigned benefits from 623 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Results Physiotherapy (329 organizations share this tax ID)
Part of
Results Physiotherapy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 7409 TN Yes

Addresses

Primary practice location

3810 Central Pike Ste 102
Hermitage, TN 37076-3495

Mailing address

800 Crescent Centre Dr Ste 300
Franklin, TN 37067-7285
Phone (615) 373-1350

Other names

  • Results Physiotherapy Doing business as

Other providers in Hermitage, TN

All providers in Hermitage, TN · Physical Therapy Clinic/Center in Tennessee

Sources for this page

Verify at the official NPI Registry.