Organization Active NPI

Center for Spine Joint and Neuromuscular Rehab PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Nashville, TN
National Provider Identifier
1114342813
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
CENTER FOR SPINE JOINT AND NEUROMUSCULAR REHAB PC
Practice address
397 Wallace Road
BLDG. C, Suite 206
Nashville, TN 37211
Phone
(615) 872-9966
Fax
(615) 872-9967
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Son D Le, MD
Title
Owner
Phone
(615) 504-4838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

397 Wallace Road
BLDG. C, Suite 206
Nashville, TN 37211

Mailing address

5651 Frist Blvd
Suite 712
Hermitage, TN 37076
Phone (615) 872-9966

Other identifiers 1

IdentifierTypeStateIssuer
3377082MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1114342813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 712",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "37076",
            "telephone_number": "615-872-9966",
            "fax_number": "615-872-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 WALLACE ROAD",
            "address_2": "BLDG. C, SUITE 206",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37211",
            "telephone_number": "615-872-9966",
            "fax_number": "615-872-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPINE JOINT AND NEUROMUSCULAR REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "SON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-504-4838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3377082",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.