Active NPI
Hermitage Therapy Group
- Speech-Language Pathologist
- Mount Juliet, TN
National Provider Identifier
1194376657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- HERMITAGE THERAPY GROUP
- Practice address
- 5041 Timber Trail Dr
Mount Juliet, TN 37122-6344 - Phone
- (803) 414-0441
- NPI assigned
- Sep 26, 2019
- Last updated
- Sep 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrianne J Ransom, MSP, CCC-SLP
- Title
- Director
- Phone
- (803) 414-0441
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | Primary | |
| Behavior Analyst | 103K00000X | NU |
Addresses
Primary practice location
5041 Timber Trail Dr
Mount Juliet, TN 37122-6344
Mailing address
5041 Timber Trail Dr
Mount Juliet, TN 37122-6344
Phone (803) 414-0441
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Mount Juliet, TN
- NPI 1932476959
-
- Occupational Therapist
- Mount Juliet, TN
- NPI 1790827269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569801600000",
"number": "1194376657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5041 TIMBER TRAIL DR",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371226344",
"telephone_number": "803-414-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5041 TIMBER TRAIL DR",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371226344",
"telephone_number": "803-414-0441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERMITAGE THERAPY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-26",
"last_updated": "2019-09-30",
"status": "A",
"authorized_official_last_name": "RANSOM",
"authorized_official_first_name": "ADRIANNE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "803-414-0441",
"authorized_official_credential": "MSP, CCC-SLP"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.