Active NPI
Cheryl Kennette Dixon-Kinzer, RPT
- Physical Therapist
- Whites Creek, TN
National Provider Identifier
1114108560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2941
- Practice address
- 701 Hardys CT
Whites Creek, TN 37189-9309 - Phone
- (615) 330-4574
- NPI assigned
- Nov 14, 2007
- Last updated
- Jan 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2941 | TN | Primary |
Addresses
Primary practice location
701 Hardys CT
Whites Creek, TN 37189-9309
Mailing address
701 Hardys CT
Whites Creek, TN 37189-9309
Phone (615) 330-4574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2941 | TN | MD | Physical Therapist |
| 2941 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1114108560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 HARDYS CT",
"city": "WHITES CREEK",
"state": "TN",
"postal_code": "371899309",
"telephone_number": "615-330-4574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 HARDYS CT",
"city": "WHITES CREEK",
"state": "TN",
"postal_code": "371899309",
"telephone_number": "615-330-4574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON-KINZER",
"first_name": "CHERYL",
"middle_name": "KENNETTE",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-14",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT2941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whites Creek, TN
- Tiffany Alexandre
- Briley Facility Operations, LLC (Briley Nursing and Rehabilitation Center)
- Jessica Ann Brooks
- Chambers Business Partners, LLC (Chambers Care NEMT)
- John Charles Danley, MA
- Kimberly Ashley Fielding
- Great and Mighty Inc.
- Kicks & Flutters Ultrasound
- Mariposa Behavioral Health Services
- Metro Health Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.