Active NPI
Audrey Story, DPT
- Physical Therapist
- Clarksville, TN
National Provider Identifier
1558038919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13711
- Practice address
- 851 Professional Park Dr
Clarksville, TN 37040-5257 - Phone
- (931) 542-2168
- NPI assigned
- Aug 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13711 | TN | Primary |
Addresses
Primary practice location
851 Professional Park Dr
Clarksville, TN 37040-5257
Mailing address
934 Glenraven Dr
Clarksville, TN 37043-8296
Phone (931) 237-5817
Other names 1
- Audrey Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220920000097 | TN | Practitioner - Physical Therapist in Private Practice | 1658756119 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13711 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy Solutions | Physical Therapist | Current | Accepting new patients |
Locations
397 Tiny Town Rd
#B
Clarksville, TN 37042
Phone (931) 999-7400
851 Professional Park Dr
Clarksville, TN 37040
Phone (931) 542-2168
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clarksville, TN
- NPI 1326269119
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1558038919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 GLENRAVEN DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370438296",
"telephone_number": "931-237-5817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 PROFESSIONAL PARK DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405257",
"telephone_number": "931-542-2168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORY",
"first_name": "AUDREY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "13711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUDREY",
"last_name": "BROWN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.