Individual provider Active NPI

Nathan Robert Dyer

  • Physical Therapist
  • Goodlettsville, TN
National Provider Identifier
1366004202
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008241 Issued in KY
Practice address
900 Conference Dr Ste 3B
Goodlettsville, TN 37072-1925
Phone
(615) 988-8001
Fax
(615) 988-8002
NPI assigned
Jul 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12340 TN
Physical Therapist 225100000X 008241 KY Primary

Addresses

Primary practice location

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

Mailing address

800 Crescent Centre Dr Ste 300
Franklin, TN 37067-7285
Phone (615) 373-1350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210625002356 KY Practitioner - Physical Therapist in Private Practice 1951631522 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12340TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell County Hospital, Inc Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Caldwell County Hospital, Inc Physical Therapist Current Accepting new patients
Caldwell County Hospital, Inc. CurrentSince Dec 1, 2024 Accepting new patients
The P.T. Place, Inc Physical Therapist Past Accepting new patients

Locations

320 Micbeth Dr
Princeton, KY 42445
Phone (270) 365-0320

550 US Highway 62 W
Ste 400
Princeton, KY 42445
Phone (270) 365-0300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIDFCD

Organizations & group practices 4

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1366004202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "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": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "NATHAN",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12340",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008241",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 18, 2021; 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.