Individual provider Active NPI

Grant Shanks, PT

  • Orthopedic Physical Therapist
  • Lebanon, TN
National Provider Identifier
1467787341
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
9477 Issued in TN
Practice address
1035 S Hartmann Dr
Lebanon, TN 37090-4064
Phone
(615) 321-3310
Fax
(615) 443-5488
NPI assigned
Oct 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 9477 TN Primary

Addresses

Primary practice location

1035 S Hartmann Dr
Lebanon, TN 37090-4064

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (615) 329-2294

Other practice location 1

315 N Washington Ave Bldg South150
Cookeville, TN 38501-2603
Phone (865) 694-1125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211014000111 TN Practitioner - Physical Therapist in Private Practice 2769880509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians

Practice addresses (Care Compare)

8 City Blvd
Nashville, TN 37209-2558
Phone (615) 329-6600

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Sep 1, 2021 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Sep 1, 2021 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients
Gulf Breeze Physical Therapy Inc. Physical Therapist PastSince Aug 1, 2021 Accepting new patients

Locations

315 N Washington Ave
Ste 150
Cookeville, TN 38501
Phone (800) 264-3762

270 E Main St
Ste 300
Gallatin, TN 37066
Phone (615) 278-1673

1035 S Hartmann Dr
Lebanon, TN 37090
Phone (615) 321-0200

77 Belinda Pkwy
Ste 201
Mt Juliet, TN 37122
Phone (615) 695-1419

5000 Crossings Cir
Ste 200A
Mt Juliet, TN 37122
Phone 61532966001901

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

Interoperability endpoints

  • Direct secure messaging: grant.shanks.p1@direct.toa.nextgenshare.com

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": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1467787341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "615-329-2294",
            "fax_number": "615-695-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S HARTMANN DR",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904064",
            "telephone_number": "615-321-3310",
            "fax_number": "615-443-5488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 N Washington Ave Bldg South150",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012603",
            "country_code": "US",
            "telephone_number": "865-694-1125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "GRANT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "9477",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 10, 2025; 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.

Verify at the official NPI Registry.