Organization Active NPI

Donnelly Physical Therapy, Inc.

  • Physical Therapist
  • Murfreesboro, TN
National Provider Identifier
1215917158
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DONNELLY PHYSICAL THERAPY, INC.
Practice address
610 E Clark Blvd
Murfreesboro, TN 37130-2121
Phone
(615) 849-8550
Fax
(615) 849-8447
NPI assigned
Jan 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Anne Bunny Donnelly, PT MOMT
Title
President
Phone
(615) 849-8550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

610 E Clark Blvd
Murfreesboro, TN 37130-2121

Mailing address

610 E Clark Blvd
Murfreesboro, TN 37130-2121
Phone (615) 849-8550

Other identifiers 1

IdentifierTypeStateIssuer
0446662MedicaidTN

National Provider Directory

National Provider Directory

Locations

1020 N Highland Ave
Ste E
Murfreesboro, TN 37130
Phone (615) 849-8550

Practitioners & affiliated clinicians

Practitioners 2

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": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1215917158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E CLARK BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302121",
            "telephone_number": "615-849-8550",
            "fax_number": "615-849-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E CLARK BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302121",
            "telephone_number": "615-849-8550",
            "fax_number": "615-849-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNELLY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "BUNNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-849-8550",
        "authorized_official_credential": "PT MOMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446662",
            "state": "TN"
        }
    ],
    "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 Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.