Shop Physical Therapy and Performance

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SHOP PHYSICAL THERAPY AND PERFORMANCE

Practice address

1111 Church St Apt 1218
Nashville, TN 37203-6334

Phone

(812) 686-7782

NPI assigned

Jun 17, 2025

Last updated

Jun 17, 2025By 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

Tyler Ward, DPT

Title

Owner

Phone

(812) 686-7782

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1497641138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CHURCH ST APT 1218",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CHURCH ST APT 1218",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036334",
            "telephone_number": "812-686-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOP PHYSICAL THERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-686-7782",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Shofner
• Robert Stewart Shofner, MD
• Samira Shojaee, MD
• Tamieka J Sholar-Conard, APRN
• Haden Sholl, MD
• Michaela Elayne Short Williamson, MD
• Julia Short
• Maureen Shorter, PHARMD
• Matthew Shou
• Amber Gross Shoulders

• Physical Therapist in Nashville, TN
• Providers in Nashville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.