NPIMap

Organization Active NPI

Atlas Osteopathy LLC

  • Physical Medicine & Rehabilitation Physician
  • Cookeville, TN
National Provider Identifier
1396037339
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
1785 Issued in TN
Legal business name
ATLAS OSTEOPATHY LLC
Practice address
404 N Willow Ave
Cookeville, TN 38501
Phone
(931) 854-9393
Fax
(931) 233-2449
NPI assigned
May 10, 2011
Last updated
Nov 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Dr. Thomas M Gannon, D.O.NPI 1548419310
Title
Medical Director
Phone
(931) 854-9393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1785 TN Primary

Addresses

Primary practice location

404 N Willow Ave
Cookeville, TN 38501

Mailing address

404 N Willow Ave
Cookeville, TN 38501-2339
Phone (931) 854-9393

Other practice location 1

4411 Wet Mill Creek Rd
Celina, TN 38551-5413
Phone (931) 854-9393

Other practice location 2

4411 Wet Mill Creek Rd
Celina, TN 38551-5413
Phone (931) 854-9393

National Provider Directory

National Provider Directory

Locations

404 N Willow Ave
Ste 1
Cookeville, TN 38501

427 N Willow Ave
Ste 4
Cookeville, TN 38501
Phone (931) 854-9393

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1396037339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012339",
            "telephone_number": "931-854-9393",
            "fax_number": "931-233-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-854-9393",
            "fax_number": "931-233-2449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4411 Wet Mill Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Celina",
            "state": "TN",
            "postal_code": "385515413",
            "country_code": "US",
            "telephone_number": "931-854-9393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4411 Wet Mill Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Celina",
            "state": "TN",
            "postal_code": "385515413",
            "country_code": "US",
            "telephone_number": "931-854-9393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLAS OSTEOPATHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "GANNON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "931-854-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.