Individual provider Active NPI

Laura Caitlin Courtner, PT, DPT

  • Physical Therapist
  • Jackson, TN
National Provider Identifier
1134551419
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
176 W University Pkwy Ste E
Jackson, TN 38305-1618
Phone
(731) 300-4950
Fax
(731) 300-4951
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

176 W University Pkwy Ste E
Jackson, TN 38305-1618

Mailing address

176 W University Pkwy Ste E
Jackson, TN 38305-1618
Phone (731) 300-4950

Other practice location 1

1492 S Highland Ave
Jackson, TN 38301
Phone (731) 300-4950

Other practice location 2

201 N Oak Ave
Cookeville, TN 38501-2437
Phone (931) 528-2128

Other practice location 3

400 US Highway 45 W
Humboldt, TN 38343-8503
Phone (731) 300-4950

Other identifiers 1

IdentifierTypeStateIssuer
446592MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131204001645 TN Practitioner - Physical Therapist in Private Practice 9032345616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patterson Physical Therapy LLCGroup PAC ID 8022259878, 8 clinicians

Practice addresses (Care Compare)

176 W University Pkwy
Suite E F
Jackson, TN 38305-1618
Phone (731) 300-4950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9661TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Patterson Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 15, 2013 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 15, 2013 Accepting new patients

Locations

176 W University Pkwy
Ste E
Jackson, TN 38305
Phone (731) 300-3543

1492 S Highland Ave
Jackson, TN 38301
Phone (731) 300-4950

176 W University Pkwy
Ste Ef
Jackson, TN 38305
Phone (731) 300-4950

176 W University Pkwy
Ste C
Jackson, TN 38305
Phone (731) 660-6915

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

400 US Highway 45 W
Three Way, TN 38343
Phone (731) 784-7771

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1134551419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 W UNIVERSITY PKWY STE E",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051618",
            "telephone_number": "731-300-4950",
            "fax_number": "731-300-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 W UNIVERSITY PKWY STE E",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051618",
            "telephone_number": "731-300-4950",
            "fax_number": "731-300-4951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1492 S Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "38301",
            "country_code": "US",
            "telephone_number": "731-300-4950",
            "fax_number": "731-300-4951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012437",
            "country_code": "US",
            "telephone_number": "931-528-2128",
            "fax_number": "931-372-8679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 US Highway 45 W",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "TN",
            "postal_code": "383438503",
            "country_code": "US",
            "telephone_number": "731-300-4950",
            "fax_number": "731-300-4951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURTNER",
        "first_name": "LAURA",
        "middle_name": "CAITLIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2021-07-13",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "446592",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.