Active NPI
Agilitas USA,Inc
- Physical Therapy Clinic/Center
- Tullahoma, TN
National Provider Identifier
1497817571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- AGILITAS USA,INC
- Practice address
- 100 Hunters LN Ste 200
Tullahoma, TN 37388-8265 - Phone
- (931) 455-1980
- Fax
- (931) 455-9401
- NPI assigned
- Dec 14, 2006
- Organization subpart
- Yes
- Parent organization
- AGILITAS USA, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Lange
- Title
- Cfo
- Phone
- (615) 373-1350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
100 Hunters LN Ste 200
Tullahoma, TN 37388-8265
Mailing address
800 Crescent Centre Dr Ste 300
Franklin, TN 37067-7285
Phone (615) 373-1350
Other names 1
- Results Physiotherapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041115000337 | TN | Part B Supplier - Clinic/Group Practice | 3375454648 |
Receives reassigned benefits from 623 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 19
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapy Clinic/Center
- Nashville, TN
- NPI 1235351438
O20041115000337
National Provider Directory
National Provider Directory- Part of
- Results Physiotherapy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570665600000",
"number": "1497817571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CRESCENT CENTRE DR STE 300",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370677285",
"telephone_number": "615-373-1350",
"fax_number": "615-373-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HUNTERS LN STE 200",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373888265",
"telephone_number": "931-455-1980",
"fax_number": "931-455-9401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGILITAS USA,INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AGILITAS USA, INC",
"enumeration_date": "2006-12-14",
"last_updated": "2019-10-10",
"status": "A",
"authorized_official_last_name": "LANGE",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "615-373-1350"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Results Physiotherapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tullahoma, TN
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- Diane M Allen, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.