Active NPI
Archie Dustin Valentour, D.P.T.
- Physical Therapist
- Signal Mountain, TN
National Provider Identifier
1275958670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0000009828
- Practice address
- 671 Alexian Way
Signal Mountain, TN 37377-1958 - Phone
- (423) 886-0338
- NPI assigned
- Feb 22, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0000009828 | TN | Primary |
| Physical Therapist | 225100000X | PT009120 | GA |
Addresses
Primary practice location
671 Alexian Way
Signal Mountain, TN 37377-1958
Mailing address
671 Alexian Way
Signal Mountain, TN 37377-1958
Phone (423) 886-0338
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 |
|---|---|---|---|
| PT009120 | GA | MD | Physical Therapist |
| PT0000009828 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Solutions Geriatrics, PLLC | 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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Nashville, TN
- NPI 1124420880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393027200000",
"number": "1275958670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 ALEXIAN WAY",
"city": "SIGNAL MOUNTAIN",
"state": "TN",
"postal_code": "373771958",
"telephone_number": "423-886-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 ALEXIAN WAY",
"city": "SIGNAL MOUNTAIN",
"state": "TN",
"postal_code": "373771958",
"telephone_number": "423-886-0338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTOUR",
"first_name": "ARCHIE",
"middle_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-22",
"last_updated": "2014-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT0000009828",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009120",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Signal Mountain, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.