Individual provider Active NPI

Christina Reburn

  • Physical Therapist
  • Hendersonville, TN
National Provider Identifier
1447022280
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14886 Issued in TN
Practice address
355 New Shackle Island Rd
Hendersonville, TN 37075-2479
Phone
(615) 338-2550
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 14886 TN Primary

Addresses

Primary practice location

355 New Shackle Island Rd
Hendersonville, TN 37075-2479

Mailing address

444 Elmington Ave Apt 805
Nashville, TN 37205-5178
Phone (918) 841-2191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240502003118 TN Practitioner - Physical Therapist in Private Practice 4880034115 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
Performance Rehab InstituteGroup PAC ID 3779703723, 9 clinicians

Practice addresses (Care Compare)

1646 Westgate Cir
Suite 106
Brentwood, TN 37027-8563
Phone (615) 465-6810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14886TNMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehab Institute CurrentSince Apr 1, 2024 Accepting new patients

Locations

1646 Westgate Cir
Ste 106
Brentwood, TN 37027
Phone (615) 465-6810

615 Bakers Bridge Ave
Ste 110
Franklin, TN 37067
Phone (615) 465-6810

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1447022280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 ELMINGTON AVE APT 805",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055178",
            "telephone_number": "918-841-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NEW SHACKLE ISLAND RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752479",
            "telephone_number": "615-338-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBURN",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.