Cameron Michael McCullough, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP008397T Issued in TN

Practice address

2197 Madison St Ste 106
Clarksville, TN 37043-5253

Phone

(931) 503-1700

Fax

(931) 503-1798

NPI assigned

Feb 8, 2019

Last updated

Oct 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Results-Ast JV, LLC

  dba Results Physiotherapy Together With Ascension Saint Thomas

  • Physical Therapist
  • Nashville, TN
  • NPI 1518630219
  NPD (past)
• SSM Select Rehab St. Louis, LLC

  dba SSM Physical Therapy

  • Rehabilitation Practitioner
  • Breese, IL
  • NPI 1740166347
  NPD (past)

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1376008870",
    "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": "2197 MADISON ST STE 106",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435253",
            "telephone_number": "931-503-1700",
            "fax_number": "931-503-1798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N State Route 7 Ste B",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "MO",
            "postal_code": "640808005",
            "country_code": "US",
            "telephone_number": "816-987-7049",
            "fax_number": "816-987-2606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "CAMERON",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-08",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019003990",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "CP008397T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse L McCoy
• Jeffrey Scott McCracken, COTA/L
• Jamie Lee McCrary
• Amelia McCray
• Sharnae Monique McCray, MSW
• John Scott McCullough, M.D.
• Tameka McCullough
• McCurdy & Ellis. PLC
• Rebecca McCurdy, MSW
• Ted R McCurdy

• Physical Therapist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.