Individual provider Active NPI

Tessa Marie Irwin, PT, DPT

  • Physical Therapist
  • Murfreesboro, TN
National Provider Identifier
1174093918
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10124 Issued in TN
Practice address
2208 E Main St
Murfreesboro, TN 37130-5800
Phone
(615) 809-2632
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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 10124 TN Primary

Addresses

Primary practice location

2208 E Main St
Murfreesboro, TN 37130-5800

Mailing address

1724 Westerwald Dr
Murfreesboro, TN 37127-7241
Phone (317) 946-8335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220919000465 TN Practitioner - Physical Therapist in Private Practice 5496135055 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10124TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
High Hopes, Inc. CurrentSince May 19, 2022 Accepting new patients
Special Kids Inc Physical Therapist PastSince Dec 15, 2024 Accepting new patients
SK Therapy Associates, Inc. Physical Therapist PastSince Jun 1, 2021 Accepting new patients

Locations

301 High Hopes Ct
Franklin, TN 37064
Phone (615) 661-5437

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1174093918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 WESTERWALD DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277241",
            "telephone_number": "317-946-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 E MAIN ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371305800",
            "telephone_number": "615-809-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "TESSA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.