Individual provider Active NPI

Mary Webb Thompson, PT, DPT

  • Physical Therapist
  • Lebanon, TN
National Provider Identifier
1457500563
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1409 W Baddour Pkwy
Suite a
Lebanon, TN 37087-2599
Phone
(615) 444-1408
Fax
(615) 444-1393
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8179 TN
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1409 W Baddour Pkwy
Suite a
Lebanon, TN 37087-2599

Mailing address

1427 W Baddour Pkwy Ste a
Lebanon, TN 37087-3062
Phone (615) 444-1408

Other identifiers 2

IdentifierTypeStateIssuer
3727276OtherTNGROUP MEDICARE LEGACY NUMBER
3727276OtherTNGROUP MEDICAID LEGACY NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081014000344 TN Practitioner - Physical Therapist in Private Practice 6406924752 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8179TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired PT, LLC Single Specialty CurrentSince Jan 2, 2025 Accepting new patients
Kerry Becht Physical Therapy and Massage, Inc. Single Specialty CurrentSince Mar 17, 2019 Accepting new patients
Inspired PT, LLC Physical Therapist CurrentSince Jan 2, 2025 Accepting new patients
Andrews & Gant Therapy, LLC Single Specialty Past Accepting new patients

Locations

230 New Shackle Island Rd
Ste 120
Hendersonvlle, TN 37075
Phone (615) 989-0660

1427 W Baddour Pkwy
Ste A
Lebanon, TN 37087
Phone (615) 444-1408

1409 W Baddour Pkwy
Ste A
Lebanon, TN 37087
Phone (615) 444-1408

1303 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 444-1408

Organizations & group practices 4

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1457500563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 W BADDOUR PKWY STE A",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873062",
            "telephone_number": "615-444-1408",
            "fax_number": "615-444-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W BADDOUR PKWY",
            "address_2": "SUITE A",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872599",
            "telephone_number": "615-444-1408",
            "fax_number": "615-444-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARY",
        "middle_name": "WEBB",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8179",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE LEGACY NUMBER",
            "identifier": "3727276",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID LEGACY NUMBER",
            "identifier": "3727276",
            "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 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.