Active NPI
Cumberland Rehabilitation Services LLC
- Pediatric Rehabilitation Medicine Physician
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- Legal business name
- CUMBERLAND REHABILITATION SERVICES LLC
- Practice address
- 1227 N Washington Ave Ste 106
Cookeville, TN 38501-1837 - Phone
- (931) 400-0725
- Fax
- (931) 400-0726
- NPI assigned
- Nov 5, 2017
- Last updated
- Mar 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon Allen
- Title
- Managing Member
- Phone
- (931) 400-0725
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | NU | Primary |
Addresses
Primary practice location
1227 N Washington Ave Ste 106
Cookeville, TN 38501-1837
Mailing address
1227 N Washington Ave Ste 106
Cookeville, TN 38501-1837
Phone (931) 400-0725
Other practice location 1
370 S Lowe Ave Ste A330
Cookeville, TN 38501-4730
Phone (606) 224-6915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q032252 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1227 N Washington Ave
Ste 106
Cookeville, TN 38501
Phone (931) 400-0724
370 S Lowe Ave
Ste A330
Cookeville, TN 38501
Phone (606) 224-6915
580 S Jefferson Ave
Ste 21
Cookeville, TN 38501
Phone (931) 219-2569
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Cookeville, TN
- NPI 1083697221
-
- Physical Therapist
- Brentwood, TN
- NPI 1780605261
-
- Physical Therapist
- Cookeville, TN
- NPI 1275348419
-
- Physical Therapist
- Cookeville, TN
- NPI 1235575960
-
- Occupational Therapist
- Cookeville, TN
- NPI 1255129458
-
- Speech-Language Pathologist
- Cookeville, TN
- NPI 1265209548
-
- Family Nurse Practitioner
- Cookeville, TN
- NPI 1508299066
-
- Physical Therapist
- Sparta, TN
- NPI 1841942513
-
- Occupational Therapist
- Cookeville, TN
- NPI 1437402690
-
- Physical Therapist
- Cookeville, TN
- NPI 1710454590
-
- Speech-Language Pathologist
- Cookeville, TN
- NPI 1386516656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1306358916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 N WASHINGTON AVE STE 106",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011837",
"telephone_number": "931-400-0725",
"fax_number": "931-400-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 N WASHINGTON AVE STE 106",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011837",
"telephone_number": "931-400-0725",
"fax_number": "931-400-0726"
}
],
"practiceLocations": [
{
"address_1": "370 S Lowe Ave Ste A330",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385014730",
"country_code": "US",
"telephone_number": "606-224-6915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CUMBERLAND REHABILITATION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-05",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "931-400-0725"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q032252",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
- Cumberland Addiction & Recovery Program, PLLC
- Cumberland Back Pain Clinic PC (McMinnville Pain Clinic)
- Cumberland Imaging Associates, PC
- Cumberland Kidney Specialist
- Cumberland Neurological and Spinal Surgery (Tier 1 Neurosurgery)
- Astria Cunningham
- Cheryl A Cunningham, PA-C
- Cura Partners, LLC (Addus HomeCare)
- Whitney Lanea Curry, MA, LPC/MHSP
- Eric Travis Dalton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.