Individual provider Active NPI

Lexie Carroll

  • Physical Therapist
  • Columbia, TN
National Provider Identifier
1396595872
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15516 Issued in TN
Practice address
1159 Trotwood Ave Ste B
Columbia, TN 38401-3038
Phone
(931) 901-0318
NPI assigned
Mar 26, 2024
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15516 TN Primary

Addresses

Primary practice location

1159 Trotwood Ave Ste B
Columbia, TN 38401-3038

Mailing address

1159 Trotwood Ave Ste B
Columbia, TN 38401-3038
Phone (931) 901-0318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250701001384 TN Practitioner - Physical Therapist in Private Practice 4981117165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Prestige Physical TherapyGroup PAC ID 8729135009, 7 clinicians

Practice addresses (Care Compare)

1159 Trotwood Ave
Suite B
Columbia, TN 38401-3038
Phone (931) 901-0318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Physical Therapy CurrentSince Mar 8, 2025 Accepting new patients

Locations

129 W Main St
Adamsville, TN 38310
Phone (731) 632-0535

310 Highway 13 S
Collinwood, TN 38450
Phone (931) 722-4630

1159 Trotwood Ave
Ste B
Columbia, TN 38401
Phone (931) 901-0318

538 N Military St
Ste 200
Loretto, TN 38469
Phone (931) 843-9150

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1396595872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 TROTWOOD AVE STE B",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013038",
            "telephone_number": "931-901-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 TROTWOOD AVE STE B",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013038",
            "telephone_number": "931-901-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LEXIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.