NPIMap

Organization Active NPI

The Therapy Center of Hendersonville

  • Physical Therapist
  • Hendersonville, TN
National Provider Identifier
1326385444
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE THERAPY CENTER OF HENDERSONVILLE
Practice address
139 Maple Row Blvd
Suite 202
Hendersonville, TN 37075-4487
Phone
(615) 826-7113
Fax
(615) 826-7139
NPI assigned
Jan 9, 2013
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Mrs. Kelley Brantley Southard, P.T.NPI 1477576700
Title
President
Phone
(615) 826-7113

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Pediatric Physical Therapist 2251P0200X NU
Occupational Therapist 225X00000X NU
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

139 Maple Row Blvd
Suite 202
Hendersonville, TN 37075-4487

Mailing address

139 Maple Row Blvd
Suite 202
Hendersonville, TN 37075-4487
Phone (615) 826-7113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241111003993 TN Part B Supplier - Clinic/Group Practice 6608300827 Receives reassigned benefits from 10 practitioners
Practice locations: Hendersonville, TN

National Provider Directory

National Provider Directory

Locations

139 Maple Row Blvd
Ste 202
Hendersonville, TN 37075
Phone (615) 822-9002

139 Maple Row Blvd
Ste 300
Hendersonvlle, TN 37075
Phone (615) 826-7113

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1326385444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 MAPLE ROW BLVD",
            "address_2": "SUITE 202",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754487",
            "telephone_number": "615-826-7113",
            "fax_number": "615-826-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MAPLE ROW BLVD",
            "address_2": "SUITE 202",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754487",
            "telephone_number": "615-826-7113",
            "fax_number": "615-826-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY CENTER OF HENDERSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "SOUTHARD",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "BRANTLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-826-7113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.

Verify at the official NPI Registry.