Active NPI
Olivia Theising, DPT
- Physical Therapist
- Madison, TN
National Provider Identifier
1154049013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14592
- Practice address
- 2182 Gallatin Pike N
Madison, TN 37115-2004 - Phone
- (615) 859-7775
- Fax
- (615) 859-7772
- NPI assigned
- Aug 17, 2022
- 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 | 14592 | TN | Primary |
Addresses
Primary practice location
2182 Gallatin Pike N
Madison, TN 37115-2004
Mailing address
PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446631 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Physical Therapy LP | Past | Accepting new patients | |
| Star Physical Therapy LP | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Bolivar, TN
- NPI 1417404351
-
- Physical Therapist
- Caruthersville, MO
- NPI 1073375861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1154049013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681478",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370681478",
"telephone_number": "615-591-6590",
"fax_number": "615-591-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2182 GALLATIN PIKE N",
"city": "MADISON",
"state": "TN",
"postal_code": "371152004",
"telephone_number": "615-859-7775",
"fax_number": "615-859-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEISING",
"first_name": "OLIVIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-17",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "14592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446631",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.