Active NPI
Danilo Correa Flores, P.T.
- Physical Therapist
- Old Hickory, TN
National Provider Identifier
1275678997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2748
- Practice address
- 4982 Lebanon Pike
Suite C
Old Hickory, TN 37138-4107 - Phone
- (615) 232-9201
- Fax
- (615) 232-9202
- NPI assigned
- Feb 20, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- 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 Therapist | 225100000X | 2748 | TN | Primary |
Addresses
Primary practice location
4982 Lebanon Pike
Suite C
Old Hickory, TN 37138-4107
Mailing address
3017 Melbourne CT E
Mount Juliet, TN 37122-7540
Phone (615) 232-9201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4100736 | Other | TN | BCBS BILLING # |
| 3648489 | Medicaid | TN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2748 | TN | MD | Obesity and Weight Management Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fall Fighters, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba FYZICAL Therapy and Balance Centers
- Physical Therapy Clinic/Center
- Hermitage, TN
- NPI 1245935881
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1275678997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 MELBOURNE CT E",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371227540",
"telephone_number": "615-232-9201",
"fax_number": "615-232-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4982 LEBANON PIKE",
"address_2": "SUITE C",
"city": "OLD HICKORY",
"state": "TN",
"postal_code": "371384107",
"telephone_number": "615-232-9201",
"fax_number": "615-232-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "DANILO",
"middle_name": "CORREA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "2748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BILLING #",
"identifier": "4100736",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3648489",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Old Hickory, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.