Active NPI
Gracelyn Allison, PTA
- Physical Therapy Assistant
- Springfield, TN
National Provider Identifier
1467009407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 7289
- Practice address
- 3131 Tom Austin Hwy
Springfield, TN 37172-4801 - Phone
- (615) 382-7979
- NPI assigned
- Aug 23, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7289 | TN | MD | Mental Health Counselor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 7289 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3131 Tom Austin Hwy
Springfield, TN 37172-4801
Mailing address
15180 Old Hickory Blvd Apt 603
Nashville, TN 37211-6560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2019.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1467009407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15180 OLD HICKORY BLVD APT 603",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372116560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 TOM AUSTIN HWY",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371724801",
"telephone_number": "615-382-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "GRACELYN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-23",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "7289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.