Chandelle Lanier-Hackett, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 6531 Issued in TN

Practice address

1131-B1 N Castle Heights Avenue
Lebanon, TN 37087-5640

Phone

(615) 965-9000

Fax

(615) 965-9001

NPI assigned

Jul 25, 2006

Last updated

Oct 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Impact Physical Therapy LLC

  • Physical Therapist
  • Watertown, TN
  • NPI 1386109668
  NPD
• Impact Physical Therapy, LLC

  • Physical Therapist
  • Lebanon, TN
  • NPI 1174709430
  NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1255354205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131-B1 N CASTLE HEIGHTS AVENUE",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370875640",
            "telephone_number": "615-965-9000",
            "fax_number": "615-965-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131-B1 N CASTLE HEIGHTS AVENUE",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370875640",
            "telephone_number": "615-965-9000",
            "fax_number": "615-965-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER-HACKETT",
        "first_name": "CHANDELLE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT 6531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kroger Limited Partnership I (Kroger Pharmacy)
• Angela Kurtz, HAS
• Courtney Kutsulis
• Lindsey Lackey, FNP-BC
• Allison Marie Lane
• Amanda Kelley Lankford, DPT
• Charles B Lanning Jr., M.D.
• Marcus D Large
• Larimore C. Warren, M.D., P.C.
• Teresa K. Larkins, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.