Active NPI
Sage Joshua Tuell, DPT
- Physical Therapist
- Portage, IN
National Provider Identifier
1467223172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP032716T
- Practice address
- 6678 US Highway 6
Portage, IN 46368-5117 - Phone
- (219) 762-0821
- NPI assigned
- Jan 11, 2024
- Sex
- Male
- Sole proprietor
- No
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 | CP032716T | IN | Primary |
| Physical Therapist | 225100000X | CP026513T | TX |
Addresses
Primary practice location
6678 US Highway 6
Portage, IN 46368-5117
Mailing address
PO Box 866308
Plano, TX 75086-6308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
162 Indian Lake Blvd
Hendersonville, TN 37075-6203
Phone (615) 456-8304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16347 | TN | MD | Social Worker |
| CP032716T | IN | MD | Physical Therapist |
| CP026513T | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Wellness Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
162 Indian Lake Blvd
Hendersonville, TN 37075
Phone (615) 456-8304
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.
-
- Physical Therapist
- Gallatin, TN
- NPI 1174075980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1467223172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 866308",
"city": "PLANO",
"state": "TX",
"postal_code": "750866308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6678 US HIGHWAY 6",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685117",
"telephone_number": "219-762-0821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUELL",
"first_name": "SAGE",
"middle_name": "JOSHUA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-11",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "CP032716T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "CP026513T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.