Organization Active NPI

Tennessee Orthopedics PT Clinic

  • Physical Therapist
  • Lebanon, TN
National Provider Identifier
1396737128
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TENNESSEE ORTHOPEDICS PT CLINIC
Practice address
1018 W Main St
Lebanon, TN 37087-3302
Phone
(615) 466-5200
Fax
(615) 466-5206
NPI assigned
Aug 18, 2005
Last updated
Nov 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Cathy Ferone, CMM
Title
Practice Administrator
Phone
(615) 449-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TN Primary

Addresses

Primary practice location

1018 W Main St
Lebanon, TN 37087-3302

Mailing address

1616 W Main St
Lebanon, TN 37087-3100
Phone (615) 449-0990

Other identifiers 1

IdentifierTypeStateIssuer
3717761MedicaidTN

National Provider Directory

National Provider Directory

Locations

1616 W Main St
Lebanon, TN 37087
Phone (615) 443-2520

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1396737128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873100",
            "telephone_number": "615-449-0990",
            "fax_number": "615-449-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873302",
            "telephone_number": "615-466-5200",
            "fax_number": "615-466-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE ORTHOPEDICS PT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "FERONE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "615-449-0990",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3717761",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.