Volunteer Physical Therapy and Performance, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VOLUNTEER PHYSICAL THERAPY AND PERFORMANCE, LLC

Practice address

1932 Almaville Rd Ste 115
Smyrna, TN 37167-7600

Phone

(615) 805-4949

NPI assigned

Nov 21, 2020

Last updated

Nov 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Blake Huddleston, PT, DPTNPI 1851992317

Title

Owner/Physical Therapist

Phone

(615) 805-4949

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Blake Huddleston, PT, DPT

  • Physical Therapist
  • Smyrna, TN
  • NPI 1851992317
  NPD Authorized official

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605916800000",
    "number": "1467055376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 SHELBY OAKS DR STE B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 ALMAVILLE RD STE 115",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371677600",
            "telephone_number": "615-805-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEER PHYSICAL THERAPY AND PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "615-805-4949",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Vega, CNM
• Alejandro Veloz Rosell
• Nan Vincelli, PA-C
• Cherissa Vinson
• Vita Veda PLLC
• Frank Darrell Wade, MD
• Sandra Wadeh
• Whitney Joan Wakefield
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0406)
• Wal-Mart Stores East, LP (Vision Center 30-0406)

• Physical Therapy Clinic/Center in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.