Individual provider Active NPI

Loretta Anne Brandon, BSPT

  • Physical Therapist
  • Mount Juliet, TN
National Provider Identifier
1154335636
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2722 Issued in TN
Practice address
3500 Mt Juliet Rd
205
Mt Juliet, TN 37122
Phone
(615) 773-0660
Fax
(615) 773-0663
NPI assigned
Jul 28, 2006
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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 2722 TN Primary

Addresses

Primary practice location

3500 Mt Juliet Rd
205
Mt Juliet, TN 37122

Mailing address

PO Box 681478
Franklin, TN 37068-1478
Phone (866) 800-9147

Other identifiers 1

IdentifierTypeStateIssuer
5441513MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061031000456 TN Practitioner - Physical Therapist in Private Practice 8921005182 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2722TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine, PLC CurrentSince Jul 22, 2021 Accepting new patients
Premier Orthopaedics & Sports Medicine, PLC CurrentSince Jul 22, 2021 Accepting new patients
Premier Orthopaedics & Sports Medicine PLC Physical Therapist Current Accepting new patients
Star Physical Therapy LP Past Accepting new patients

Locations

5651 Frist Blvd
Ste 515
Hermitage, TN 37076
Phone (615) 889-3501

100 Physicians Way
Ste 120
Lebanon, TN 37090
Phone (615) 547-6700

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

Interoperability endpoints

  • Direct secure messaging: loretta.brandon.1@321.direct.athenahealth.com

Organizations & group practices 5

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1154335636",
    "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": "866-800-9147",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MT JULIET RD",
            "address_2": "205",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-773-0660",
            "fax_number": "615-773-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "LORETTA",
        "middle_name": "ANNE",
        "credential": "BSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "2722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441513",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.