Active NPI
Dana C Fussell, LPTA
- Physical Therapy Assistant
- Union City, TN
National Provider Identifier
1275530495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2152
- Practice address
- 1720 E Reelfoot Ave
Suite 100
Union City, TN 38261-6047 - Phone
- (731) 884-0744
- NPI assigned
- Jul 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2152 | TN | Primary |
Addresses
Primary practice location
1720 E Reelfoot Ave
Suite 100
Union City, TN 38261-6047
Mailing address
464 Troy Polk Station Rd
Troy, TN 38260-4802
Phone (731) 536-5306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2152 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275530495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 TROY POLK STATION RD",
"city": "TROY",
"state": "TN",
"postal_code": "382604802",
"telephone_number": "731-536-5306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E REELFOOT AVE",
"address_2": "SUITE 100",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382616047",
"telephone_number": "731-884-0744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSSELL",
"first_name": "DANA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "2152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.