Active NPI
Tracy L Dillon, P.T.
- Physical Therapist
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0000004019
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 73.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4019 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Medical Group, PC | Current | Accepting new patients | |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Medical Group, PC | Current | Accepting new patients | |
| West Tennessee Bone and Joint Clinic PC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Lift Therapy, Inc. | Past | Accepting new patients | |
| Wellfit Medicine and Nutrition Jackson, PLLC | Past | Accepting new patients | |
| Wellfit Nutrition, PLLC | Past | 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
- 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.
-
- Physical Therapist
- Germantown, TN
- NPI 1174308647
-
- Multi-Specialty Clinic/Center
- Mount Juliet, TN
- NPI 1467023861
Physical Therapist
-
- Geriatric Medicine (Internal Medicine) Physician
- Franklin, TN
- NPI 1679261093
-
- Physical Therapist
- Cordova, TN
- NPI 1215712781
-
- Physical Therapist
- Indian Harbour Beach, FL
- NPI 1932072030
-
- Geriatric Medicine (Internal Medicine) Physician
- Raleigh, NC
- NPI 1407673965
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Physical Therapist
-
- Family Medicine Physician
- Jackson, TN
- NPI 1417219189
-
- Registered Dietitian
- Jackson, TN
- NPI 1861734667
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.