The Sideline Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE SIDELINE PHYSICAL THERAPY

Practice address

104 Oxford St
Martin, TN 38237-2428

Phone

(731) 587-3422

Fax

(731) 587-3424

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Wray Smith, PTNPI 1316945488

Title

President

Phone

(731) 587-3422

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Wray Smith, PHYSICAL THERAPIST

  • Physical Therapist
  • Martin, TN
  • NPI 1316945488
  Authorized official Same address or phone
• Adam K Pulliam, DPT

  • Physical Therapist
  • Martin, TN
  • NPI 1801109855
  NPD (past)
• Lawrence Matthew Washburn, PHYSICAL THERAPIST

  • Physical Therapist
  • Martin, TN
  • NPI 1902804073
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386703395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 OXFORD ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372428",
            "telephone_number": "731-587-3422",
            "fax_number": "731-587-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 OXFORD ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372428",
            "telephone_number": "731-587-3422",
            "fax_number": "731-587-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SIDELINE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WRAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-587-3422",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Capps Teal, DPH
• Tennessee CVS Pharmacy LLC (CVS Pharmacy# 11071)
• Tennessee Valley Home Care, LLC (Tennessee Quality Care - Home Health West)
• The Hinds Medical Clinic, P.C.
• The Rehab Group Inc
• Elizabeth P Thomas, PHARMD
• Dalton Thomasson, PT, DPT
• April Lanetia Thompson, LPN
• Chasnie Thompson, M.S.CCC-SLP
• Keith Thompson, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.