Individual provider Active NPI

Bobbi Michelle Dodson, DPT

  • Physical Therapist
  • Tullahoma, TN
National Provider Identifier
1255865721
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11251 Issued in TN
Practice address
1435 Cedar LN
Tullahoma, TN 37388-2319
Phone
(931) 393-4494
Fax
(931) 393-4616
NPI assigned
Apr 12, 2017
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11251 TN Primary

Addresses

Primary practice location

1435 Cedar LN
Tullahoma, TN 37388-2319

Mailing address

PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590

Other identifiers 1

IdentifierTypeStateIssuer
0446631MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170620002095 TN Practitioner - Physical Therapist in Private Practice 5092083881 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11251TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Physical Therapy LP Physical Therapist CurrentSince Jul 2, 2023 Accepting new patients
Agilitas USA Inc CurrentSince Jun 5, 2017 Accepting new patients
Star Physical Therapy LP Physical Therapist CurrentSince Jul 2, 2023 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 5, 2017 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

627 S James M Campbell Blvd
Ste B
Columbia, TN 38401
Phone (931) 398-2288

3046 Columbia Ave
Ste 108
Franklin, TN 37064
Phone (615) 550-0000

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199

3810 Central Pike
Ste 102
Hermitage, TN 37076
Phone (615) 915-5000

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

1420 W Baddour Pkwy
Ste 120
Lebanon, TN 37087
Phone (615) 443-9036

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

5002 Crossings Cir
Ste 320
Mt Juliet, TN 37122
Phone (615) 758-9129

2910 S Church St
Ste G
Murfreesboro, TN 37127
Phone (615) 656-0610

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

5073 Main St
Ste 120
Spring Hill, TN 37174
Phone (615) 302-3564

100 Hunters Ln
Ste 200
Tullahoma, TN 37388
Phone (931) 455-1980

1435 Cedar Ln
Tullahoma, TN 37388
Phone (931) 393-4494

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 5

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1255865721",
    "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",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 CEDAR LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882319",
            "telephone_number": "931-393-4494",
            "fax_number": "931-393-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "BOBBI",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.