Active NPI
Center for Spine Joint and Neuromuscular Rehab PC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Nashville, TN
National Provider Identifier
1114342813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3377082 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI 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": []
}
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- Center for Professional Excellence
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- Center for Urological Treatment
- Centerstone
- Centerstone
- Centerstone
- Centerstone
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.