Beverly U Baumgardner, PT
Individual provider Active NPI Physical Therapist · Clinton, TN
NPI 1366422511 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1366422511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0556 (TN)
- Practice address
- 1921 N Charles G Seivers Blvd
Clinton, TN 37716-6747 - Phone
- (865) 457-1649
- Fax
- (865) 463-7825
- NPI assigned
- Jan 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0556 | TN | MD | Physical Therapist |
| 556 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Physical Therapy Center | Physical Therapist | Past | Accepting new patients |
| Clinton Physical Therapy Center | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0556 | TN | Yes |
Addresses
Primary practice location
1921 N Charles G Seivers Blvd
Clinton, TN 37716-6747
Mailing address
PO Box 916
Clinton, TN 37717-0916
Phone (865) 457-1649
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3651340 | Medicaid | TN |
Other providers in Clinton, TN
- B3 Speech Therapy, LLC
- Katrina Michelle Bailey
- Kimberly Baker
- Destiny Ann Ballew
- Kelly Diane Barnes-Novarro
- Nicole S Beavers
- Michael Boyd Beeler
- Benchmark Healthcare Services LLC
- Jacqueline Beth Berk
- Timothy Allen Bible
All providers in Clinton, 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 Jul 13, 2026. 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.