Individual provider Active NPI

Vanessa Anne Hart, DPT

  • Physical Therapist
  • Nashville, TN
National Provider Identifier
1366790115
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2004 Hayes St
Ste 200
Nashville, TN 37203-2689
Phone
(615) 771-0134
Fax
(615) 771-8816
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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 070-019436 IL
Physical Therapist 225100000X TN Primary

Addresses

Primary practice location

2004 Hayes St
Ste 200
Nashville, TN 37203-2689

Mailing address

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

Other practice location 1

4607 Golf Rd
Skokie, IL 60076-1209
Phone (847) 673-5073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121128000129 IL Practitioner - Physical Therapist in Private Practice 2062664956 Reassigns benefits to 1 organization
I20210709001094 TN Practitioner - Physical Therapist in Private Practice 2062664956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Fox Rehabilitation Services TN LLCGroup PAC ID 8921363771, 73 clinicians

Practice addresses (Care Compare)

Spring Hill, TN 37174
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-019436ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Aug 21, 2012 Accepting new patients
Fox Rehabilitation Services TN LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 21, 2012 Accepting new patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince May 16, 2022 Accepting new patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince May 16, 2022 Accepting new patients

Locations

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

4607 Golf Rd
Skokie, IL 60076
Phone (847) 673-5073

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

2004 Hayes St
Ste 200
Nashville, TN 37203
Phone (615) 284-2000

2001 Woodmont Blvd
Nashville, TN 37215
Phone (615) 425-4900

3056 Miles Johnson Pkwy
Spring Hill, TN 37174
Phone (931) 451-0009

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1366790115",
    "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": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST",
            "address_2": "STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032689",
            "telephone_number": "615-771-0134",
            "fax_number": "615-771-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4607 Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600761209",
            "country_code": "US",
            "telephone_number": "847-673-5073",
            "fax_number": "847-673-2475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "VANESSA",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-019436",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.