Organization Active NPI

Center for Spine Joint & Neuromuscular Rehab PC

  • Specialist
  • Mount Juliet, TN
National Provider Identifier
1407193543
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTER FOR SPINE JOINT & NEUROMUSCULAR REHAB PC
Practice address
541 N Mount Juliet Rd
Suite 2103
Mount Juliet, TN 37122-3873
Phone
(615) 872-9966
Fax
(615) 564-9308
NPI assigned
Jan 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Son D Le, MD
Title
Owner
Phone
(615) 872-9966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

541 N Mount Juliet Rd
Suite 2103
Mount Juliet, TN 37122-3873

Mailing address

5651 Frist Blvd
Suite 712
Hermitage, TN 37076-2054
Phone (615) 872-9966

National Provider Directory

National Provider Directory

Locations

541 N Mount Juliet Rd
Ste 2103
Mt Juliet, TN 37122
Phone (615) 758-7118

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1407193543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 712",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762054",
            "telephone_number": "615-872-9966",
            "fax_number": "615-564-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 N MOUNT JULIET RD",
            "address_2": "SUITE 2103",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223873",
            "telephone_number": "615-872-9966",
            "fax_number": "615-564-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPINE JOINT & NEUROMUSCULAR REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "SON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-872-9966",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.