Individual provider Active NPI

Troy Brunson, DPT

  • Physical Therapist
  • Collierville, TN
National Provider Identifier
1316570732
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12481 Issued in TN
Practice address
622 W Poplar Ave Ste 5
Collierville, TN 38017-2578
Phone
(901) 850-5246
Fax
(901) 850-5226
NPI assigned
Feb 13, 2020
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12481 TN Primary

Addresses

Primary practice location

622 W Poplar Ave Ste 5
Collierville, TN 38017-2578

Mailing address

622 W Poplar Ave Ste 5
Collierville, TN 38017-2578
Phone (901) 850-5246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200323002161 TN Practitioner - Physical Therapist in Private Practice 8820426034 Reassigns benefits to 1 organization
I20230828002120 MS Practitioner - Physical Therapist in Private Practice 8820426034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittman Physical Therapy LLCGroup PAC ID 5991804031, 10 clinicians

Practice addresses (Care Compare)

2631 McIngvale Rd
Suite 108
Hernando, MS 38632-5936
Phone (662) 469-9054

632 W Poplar Ave
Collierville, TN 38017-2540
Phone (901) 850-5246

Merit-based Incentive Payment System (MIPS)

Final score
21.77 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12481TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Napoli Physical Therapy LLC Single Specialty CurrentSince Jul 15, 2023 Accepting new patients

Locations

2631 McIngvale Rd
Ste 108
Hernando, MS 38632
Phone (662) 469-9054

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1316570732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W POPLAR AVE STE 5",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172578",
            "telephone_number": "901-850-5246",
            "fax_number": "901-850-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W POPLAR AVE STE 5",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172578",
            "telephone_number": "901-850-5246",
            "fax_number": "901-850-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "TROY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.