Katelyn Anderson, PTA
Individual provider Active NPI Physical Therapy Assistant · Lexington, TN
NPI 1417763558 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1417763558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 7872 (TN)
- Practice address
- 9550 Highway 412 W Ste B
Lexington, TN 38351-5850 - Phone
- (731) 968-8197
- Fax
- (731) 967-1749
- NPI assigned
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways of Tennessee, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 7872 | TN | Yes |
Addresses
Primary practice location
9550 Highway 412 W Ste B
Lexington, TN 38351-5850
Mailing address
257 Bancorp South Pkwy
Jackson, TN 38305-7582
Phone (731) 660-8781
Other providers in Lexington, TN
- Kimberly Michelle Alexander
- Savannah Renee Alexander
- Ambulance Services of Lexington, Inc.
- Americare at Heritage Place Assisted Living LLC
- Americare at Northcliff Assisted Living LLC
- Antoniette J. Driver
- Chenoa Archer
- Jennifer Autry
- Carlas Ballhagen
- Jordan Barber
All providers in Lexington, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.