Benton County Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000002294 Issued in TN

Legal business name

BENTON COUNTY PHYSICAL THERAPY

Practice address

543 Highway 79
Dover, TN 37058-5966

Phone

(931) 232-0057

Fax

(931) 232-0067

NPI assigned

Jan 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Jean Pinion

Title

Corporate Secretary/Office Manager

Phone

(931) 232-0057

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Dover Rehabilitation Services Doing business as

Locations

Practitioners 3

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

• Bhekumuzi McGlen Khumalo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Union City, TN
  • NPI 1144312521
  NPD (past)
• Deborah Sue St Clair, MD

  • Orthopaedic Surgery Physician
  • Union City, TN
  • NPI 1801828009
  NPD (past)
• Fred K Wood, PT

  • Physical Therapist
  • Paris, TN
  • NPI 1598955098
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1114905643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 465",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "38242",
            "telephone_number": "931-232-0057",
            "fax_number": "931-232-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 HIGHWAY 79",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370585966",
            "telephone_number": "931-232-0057",
            "fax_number": "931-232-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON COUNTY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "PINION",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CORPORATE SECRETARY/OFFICE MANAGER",
        "authorized_official_telephone_number": "931-232-0057",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000002294",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "PT2294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3106297",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044-6602",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446602",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dover Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Medical, PLLC
• Karen Jean Anderson, REGISTERED DIETITIAN
• Glenda Taylor Atkins, FNP
• Blane Clinical LLC
• Blane Management LLC
• Blane Management LLC
• Christa A Blane, ARNP-BC
• Marlin Blane, PHARMD

• All providers in Dover, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.