Mark C Flanagan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13307 Issued in TN

Practice address

940 Memory LN Ste 103
Gallatin, TN 37066-7162

Phone

(615) 451-5158

Fax

(615) 451-4033

NPI assigned

Apr 1, 2021

Last updated

Jul 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, NY, CT3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Connecticut Rehabilitation CentersGroup PAC ID 2961395173, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Connecticut Rehabilitation Centers

  • Physical Therapy Clinic/Center
  • Killingly, CT
  • NPI 1952310971
  Medicare reassignment Care Compare group NPD
• Premier Orthopaedics & Sports Medicine PLC

  dba Hughston Clinic Orthopaedics

  • Orthopaedic Surgery Physician
  • Nashville, TN
  • NPI 1972577351

  Physical Therapist

  Medicare reassignment NPD
• Fox Rehabilitation Physical Therapy Services LLC

  • Physical Therapist
  • New York, NY
  • NPI 1174560650
  Medicare reassignment NPD
• Premier Orthopaedics & Sports Medicine, PLC

  dba Hughston Clinic Orthopaedics

  • Durable Medical Equipment & Medical Supplies
  • Murfreesboro, TN
  • NPI 1861029084
  NPD
• Eastern Connecticut Rehabili

  • Physical Therapy Clinic/Center
  • Gales Ferry, CT
  • NPI 1700895729
  NPD
• Imed Urgent Care

  • Urgent Care Clinic/Center
  • Gallatin, TN
  • NPI 1679951065
  NPD (past)
• Star Physical Therapy LP

  • Physical Therapist
  • Caruthersville, MO
  • NPI 1073375861
  NPD (past)

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1225616915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MEMORY LN STE 103",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370667162",
            "telephone_number": "615-451-5158",
            "fax_number": "615-451-4033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2659 8th Ave. S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372042483",
            "country_code": "US",
            "telephone_number": "615-283-9009",
            "fax_number": "615-866-3762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 New Shackle Island Rd Ste 142C",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752487",
            "country_code": "US",
            "telephone_number": "615-826-4205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "MARK",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Choice Home Infusion, LLC (First Choice Home Infusion)
• First Choice Wellness Centers, LLC (LUX Infusion Centers 3)
• First Step Prosthetics, LLC
• Ariel Helene Fisk, LMT
• Kelly Marie Flanagan, MS
• Julie Lewellen Flannagan, LMFT
• Amelia Barbee Fletcher, ALPC/MHSP
• Magdala Fleury, SLP
• John C Flynn, MD
• Debra Lynn Folkerts

• Physical Therapist in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.