Individual provider Active NPI

Nolan Bud Beede, DPT

  • Physical Therapist
  • Hendersonville, TN
National Provider Identifier
1245742568
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
711 E Main St Ste 106
Hendersonville, TN 37075-2741
Phone
(615) 822-8804
Fax
(615) 822-8577
NPI assigned
Oct 26, 2017
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12580 TN
Physical Therapist 225100000X Primary

Addresses

Primary practice location

711 E Main St Ste 106
Hendersonville, TN 37075-2741

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other identifiers 1

IdentifierTypeStateIssuer
044631MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200512000881 TN Practitioner - Physical Therapist in Private Practice 6305106642
I20250117003710 NV Practitioner - Physical Therapist in Private Practice 6305106642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12580TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Physical Therapist CurrentSince May 16, 2020 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Jan 20, 2025 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince May 16, 2020 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

1505 Wigwam Pkwy
Ste 240
Henderson, NV 89074
Phone (702) 568-0195

1525 E Windmill Ln
Ste 202
Las Vegas, NV 89123
Phone (702) 202-1280

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

5653 Frist Blvd
Ste 731
Hermitage, TN 37076
Phone (615) 232-3838

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1245742568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E MAIN ST STE 106",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752741",
            "telephone_number": "615-822-8804",
            "fax_number": "615-822-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEDE",
        "first_name": "NOLAN",
        "middle_name": "BUD",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-26",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12580",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.