NPIMap

Organization Active NPI

Susan Underwood Physical Therapy

  • Specialist
  • Nashville, TN
National Provider Identifier
1184796161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SUSAN UNDERWOOD PHYSICAL THERAPY
Practice address
2021 Richard Jones Rd
Suite 180
Nashville, TN 37215-2860
Phone
(615) 298-8021
Fax
(615) 298-8024
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Susan L Underwood, P.T.NPI 1699775304
Title
Owner
Phone
(615) 298-8021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2021 Richard Jones Rd
Suite 180
Nashville, TN 37215-2860

Mailing address

2021 Richard Jones Rd
Suite 180
Nashville, TN 37215-2860
Phone (615) 298-8021

Other identifiers 1

IdentifierTypeStateIssuer
4110467OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051122000213 TN Part B Supplier - Clinic/Group Practice 7214956069 Receives reassigned benefits from 6 practitioners
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

2021 Richard Jones Rd
Ste 180
Nashville, TN 37215
Phone (615) 298-8021

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184796161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 RICHARD JONES RD",
            "address_2": "SUITE 180",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152860",
            "telephone_number": "615-298-8021",
            "fax_number": "615-298-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 RICHARD JONES RD",
            "address_2": "SUITE 180",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152860",
            "telephone_number": "615-298-8021",
            "fax_number": "615-298-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN UNDERWOOD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-298-8021",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4110467",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.