Individual provider Active NPI

Archie Dustin Valentour, D.P.T.

  • Physical Therapist
  • Signal Mountain, TN
National Provider Identifier
1275958670
Registry record updated Feb 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000009828 Issued in TN
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

Updated by the provider on Feb 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT009120GAMDPhysical Therapist
PT0000009828TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.