Active NPI
Mary Webb Thompson, PT, DPT
- Physical Therapist
- Lebanon, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8179 | TN | |
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3727276 | Other | TN | GROUP MEDICARE LEGACY NUMBER |
| 3727276 | Other | TN | GROUP MEDICAID LEGACY NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8179 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspired PT, LLC | Single Specialty | Current | Accepting new patients |
| Kerry Becht Physical Therapy and Massage, Inc. | Single Specialty | Current | Accepting new patients |
| Inspired PT, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Lebanon, TN
- NPI 1871785576
Single Specialty
-
- Physical Therapy Clinic/Center
- Hendersonville, TN
- NPI 1437187515
Single Specialty
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.