Active Spine and Joint Center, LLC
Organization Active NPI Chiropractor · Hendersonville, TN
NPI 1194055178 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1194055178
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2380 (TN)
- Legal business name
- ACTIVE SPINE AND JOINT CENTER, LLC
- Practice address
- 123 Stadium Dr
Hendersonville, TN 37075-3528 - Phone
- (615) 537-5520
- Fax
- (615) 537-5521
- NPI assigned
- Jan 13, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Jason B Hulme, D.C.
- Title
- Chief Manager
- Phone
- (615) 537-5520
Practitioners 6
-
Jason Bryan Hulme, D.C., DIPL. MED. AC.
-
Lincoln Joshua Cole, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100308000686 | TN | Part B Supplier - Clinic/Group Practice | 4789729211 |
Receives reassigned benefits from 4 practitioners Practice locations: Hendersonville, TN |
National Provider Directory
Locations
123 Stadium Dr
Hendersonville, TN 37075
Phone (615) 537-5520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2380 | TN | Yes |
Addresses
Primary practice location
123 Stadium Dr
Hendersonville, TN 37075-3528
Mailing address
123 Stadium Dr
Hendersonville, TN 37075-3528
Phone (615) 537-5520
Other names
- Active Sports Therapy
Other providers in Hendersonville, TN
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- Emily Adamopoulos
- Sarah Nicole Adams
- Patricia M Adamski
- Mosunmola Adebowale Ademosu
- Adult Cardiologist, P.C.
All providers in Hendersonville, TN · Chiropractor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.