Individual provider Active NPI

Nicholas G Goulooze, PT, DPT

  • Physical Therapist
  • Goodlettsville, TN
National Provider Identifier
1346645439
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11489 Issued in TN
Practice address
900 Conference Dr Ste 3B
Goodlettsville, TN 37072-1925
Phone
(615) 988-8001
Fax
(615) 988-8002
NPI assigned
Oct 31, 2014
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 11489 TN Primary

Addresses

Primary practice location

900 Conference Dr Ste 3B
Goodlettsville, TN 37072-1925

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

262 New Shackle Island Rd Ste 210
Hendersonville, TN 37075-2489
Phone (615) 507-1552

Other practice location 2

1420 W Baddour Pkwy Ste 120
Lebanon, TN 37087-1510
Phone (615) 443-9036

Other practice location 3

3810 Central Pike Ste 102
Hermitage, TN 37076-3495
Phone (615) 915-5000

Other identifiers 1

IdentifierTypeStateIssuer
7100329510MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920003097 TN Practitioner - Physical Therapist in Private Practice 6103149588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians

Practice addresses (Care Compare)

3810 Central Pike
Suite 102
Hermitage, TN 37076-3495
Phone (615) 915-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1725 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 467-9969

1195 Old Hickory Blvd
Ste 100
Brentwood, TN 37027
Phone (615) 377-8773

6688 Nolensville Rd
Ste 112
Brentwood, TN 37027
Phone (615) 933-5150

2197 Madison St
Ste 106
Clarksville, TN 37043
Phone (931) 503-1700

210 Creekside Dr
Dickson, TN 37055
Phone (615) 446-7623

132 N Belvedere Dr
Gallatin, TN 37066
Phone (615) 451-1877

900 Conference Dr
Ste 3B
Goodlettsville, TN 37072
Phone (615) 550-0000

262 New Shackle Island Rd
Ste 210
Hendersonville, TN 37075
Phone (615) 507-1552

326 New Shackle Island Rd
Ste 300
Hendersonville, TN 37075
Phone (615) 448-0517

3810 Central Pike
Ste 102
Hermitage, TN 37076
Phone (615) 915-5000

1420 W Baddour Pkwy
Ste 120
Lebanon, TN 37087
Phone (615) 443-9036

1919 Charlotte Ave
Ste 220
Nashville, TN 37203
Phone (615) 327-3273

210 25th Ave N
Ste 520
Nashville, TN 37203
Phone (615) 321-3215

4027 Hillsboro Pike
Ste 801
Nashville, TN 37215
Phone (615) 383-8590

4230 Harding Pike
Ste 900
Nashville, TN 37205
Phone (615) 921-6504

4909 Nolensville Rd
Nashville, TN 37211
Phone (615) 333-9828

6816 Charlotte Pike
Ste 103
Nashville, TN 37209
Phone (615) 356-0710

921 Gallatin Ave
Ste 102
Nashville, TN 37206
Phone (629) 777-1520

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

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, 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": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1346645439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CONFERENCE DR STE 3B",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721925",
            "telephone_number": "615-988-8001",
            "fax_number": "615-988-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "262 New Shackle Island Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752489",
            "country_code": "US",
            "telephone_number": "615-507-1552",
            "fax_number": "615-507-1553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 W Baddour Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370871510",
            "country_code": "US",
            "telephone_number": "615-443-9036",
            "fax_number": "615-443-9037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3810 Central Pike Ste 102",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370763495",
            "country_code": "US",
            "telephone_number": "615-915-5000",
            "fax_number": "615-915-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULOOZE",
        "first_name": "NICHOLAS",
        "middle_name": "G",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-31",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100329510",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.