Active NPI
Allison Buckner Bolt, PTA
- Physical Therapy Assistant
- Nashville, TN
National Provider Identifier
1164595583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 0000002493
- Practice address
- 3305 W End Ave
Nashville, TN 37203-1035 - Phone
- (615) 386-4900
- NPI assigned
- Nov 15, 2006
- 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 Therapy Assistant | 225200000X | 0000002493 | TN | Primary |
Addresses
Primary practice location
3305 W End Ave
Nashville, TN 37203-1035
Mailing address
720 Chris Hill Dr
Seymour, TN 37865-3244
Phone (865) 579-9829
Other names 1
- Miss Allison Dawn Buckner
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000002493 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intelligent Therapy Staffing | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Skilled Nursing Facility
- Nashville, TN
- NPI 1578684940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164595583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 CHRIS HILL DR",
"city": "SEYMOUR",
"state": "TN",
"postal_code": "378653244",
"telephone_number": "865-579-9829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 W END AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031035",
"telephone_number": "615-386-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLT",
"first_name": "ALLISON",
"middle_name": "BUCKNER",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "0000002493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "BUCKNER",
"middle_name": "DAWN",
"prefix": "MISS",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.