Individual provider Active NPI

Tracy L Dillon, P.T.

  • Physical Therapist
  • Jackson, TN
National Provider Identifier
1144528803
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000004019 Issued in TN
Practice address
101 Executive Dr
Jackson, TN 38305-2318
Phone
(731) 431-0610
Fax
(731) 300-3374
NPI assigned
Mar 4, 2011
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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 PT0000004019 TN Primary

Addresses

Primary practice location

101 Executive Dr
Jackson, TN 38305-2318

Mailing address

101 Executive Dr
Jackson, TN 38305-2318
Phone (731) 431-0610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000108 TN Practitioner - Physical Therapist in Private Practice 2769665546 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians
West Tennessee Bone and Joint Clinic PCGroup PAC ID 7517940182, 64 clinicians

Practice addresses (Care Compare)

1020 Charlie Daniels Pkwy
Mount Juliet, TN 37122-3064
Phone (877) 367-9772

1200 N Pkwy
Jackson, TN 38305-5011
Phone (731) 207-0722

1535 Appling Care LN
Cordova, TN 38016-4994
Phone (901) 883-0262

50 Capital Ave
Jackson, TN 38305-5507
Phone (731) 661-9825

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Promoting interoperability
98
Improvement activities
40
Cost
73.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4019TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Oct 9, 2025 Accepting new patients
Empowerme Medical Group, PC CurrentSince Sep 22, 2025 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Mar 9, 2023 Accepting new patients
Empowerme Medical Group, PC CurrentSince Sep 22, 2025 Accepting new patients
West Tennessee Bone and Joint Clinic PC Physical Therapist CurrentSince Aug 16, 2016 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Mar 9, 2023 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Oct 9, 2025 Accepting new patients
Lift Therapy, Inc. Past Accepting new patients
Wellfit Medicine and Nutrition Jackson, PLLC PastSince Jan 22, 2023 Accepting new patients
Wellfit Nutrition, PLLC PastSince Jan 22, 2023 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

1535 Appling Care Ln
Cordova, TN 38016
Phone (901) 377-7500

300 Celebration Cir
Franklin, TN 37067
Phone (615) 274-9107

24 Physicians Dr
Jackson, TN 38305
Phone (731) 661-9825

50 Capital Ave
Jackson, TN 38305
Phone (731) 661-9825

100 Carrick Ct
Mt Juliet, TN 37122
Phone (505) 688-0093

1020 Charlie Daniels Pkwy
Mt Juliet, TN 37122
Phone (615) 758-4800

Interoperability endpoints

  • Direct secure messaging: tracy.dillon.1@3533.direct.athenahealth.com

Organizations & group practices 11

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": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1144528803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EXECUTIVE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052318",
            "telephone_number": "731-431-0610",
            "fax_number": "731-300-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EXECUTIVE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052318",
            "telephone_number": "731-431-0610",
            "fax_number": "731-300-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "TRACY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000004019",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 19, 2023; 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.