Active NPI
Tomasz J Nosarzewski, PT
- Physical Therapist
- Crossville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0000003608
- Practice address
- 29 Taylor Ave
Suite 205
Crossville, TN 38555-4526 - Phone
- (931) 456-5757
- Fax
- (931) 456-5533
- NPI assigned
- May 9, 2006
- Last updated
- Sep 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0000003608 | TN | Primary |
Addresses
Primary practice location
29 Taylor Ave
Suite 205
Crossville, TN 38555-4526
Mailing address
139 Hedgewood PT
Crossville, TN 38558-4514
Phone (931) 456-5757
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5726340001 | Other | TN | MEDICARE DME |
| 650021404 | Other | TN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29 Taylor Ave
Suite 205
Crossville, TN 38555-4537
50 Stanley St
Crossville, TN 38555-4430
Phone (931) 456-5757
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0000003608 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehabilitation Center, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
29 Taylor Ave
Ste 205
Crossville, TN 38555
Phone (931) 456-5757
50 Stanley St
Crossville, TN 38555
Phone (931) 456-5757
50 Stanley St
Ste 101
Crossville, TN 38555
Phone (931) 456-5757
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.
-
- Physical Therapist
- Crossville, TN
- NPI 1093982175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221177600000",
"number": "1407805385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 HEDGEWOOD PT",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385584514",
"telephone_number": "931-456-5757",
"fax_number": "931-456-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 TAYLOR AVE",
"address_2": "SUITE 205",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385554526",
"telephone_number": "931-456-5757",
"fax_number": "931-456-5533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSARZEWSKI",
"first_name": "TOMASZ",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2008-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT0000003608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "5726340001",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "650021404",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crossville, TN
- Kendra Norris, FNP
- Cali Norrod
- North Main Medical, LLC
- Northland Hearing Centers, Inc.
- Dorota Julita Nosarzewska, PTA
- NP Enterprises Inc (Family Walk-In Clinic)
- NP Enterprises, Inc. (Family Walk In Clinic)
- Nra-Crossville, Tennessee, LLC (Fresenius Kidney Care Crossville Home Therapies)
- Nra-Crossville, Tennessee, LLC (Crossville Dialysis Clinic)
- Nurseride LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.