Active NPI
Christian Gomez, DPT, PT
- Physical Therapist
- Clarksville, TN
National Provider Identifier
1164351045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17176
- Practice address
- 2443 Old Russellville Pike
Clarksville, TN 37040-5833 - Phone
- (931) 229-0023
- NPI assigned
- May 16, 2026
- Last updated
- May 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 17176 | Primary |
Addresses
Primary practice location
2443 Old Russellville Pike
Clarksville, TN 37040-5833
Mailing address
1324 Black Oak Cir
Clarksville, TN 37042-1551
Phone (731) 333-9295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1324 Black Oak Cir
Clarksville, TN 37042-1551
1991 Pickens Rd
Clarksville, TN 37040-6022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Physiotherapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
2443 Old Russellville Pike
Ste A
Clarksville, TN 37040
Phone (931) 229-0023
Organizations & group practices 1
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": "1778889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778889600000",
"number": "1164351045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 BLACK OAK CIR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370421551",
"telephone_number": "731-333-9295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2443 OLD RUSSELLVILLE PIKE",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405833",
"telephone_number": "931-229-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "CHRISTIAN",
"credential": "DPT, PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-16",
"last_updated": "2026-05-16",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "17176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.