Connor Ballard
Individual provider Active NPI Physical Therapist · Springfield, TN
NPI 1346776119 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1346776119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 409 Northcrest Dr
Springfield, TN 37172-3973 - Phone
- (615) 382-3078
- Fax
- (615) 382-2638
- NPI assigned
- May 11, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TN | Yes |
Addresses
Primary practice location
409 Northcrest Dr
Springfield, TN 37172-3973
Mailing address
PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590
Other providers in Springfield, TN
- Bridgett L Augustino-Wilke
- Christy Baggett
- Lane Baker
- Alison Elizabeth Bakke
- Sarah Sutherland Baldwin
- Dale W. Barner
- Jeffrey Brian Barnes
- David Arthur Baron
- Amber Allen Barry
- Brenda Bateman
All providers in Springfield, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.