Organization Active NPI

Emery PT

Doing business as Fundamental Physical Therapy

  • Physical Therapist
  • Nashville, TN
National Provider Identifier
1568288918
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EMERY PT
Doing business as
Fundamental Physical Therapy
Practice address
1056 E Trinity LN Ste 104
Nashville, TN 37216-3062
Phone
(812) 604-7446
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Max D Emery, DPT
Title
Owner/Physical Therapist
Phone
(812) 604-7446

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1056 E Trinity LN Ste 104
Nashville, TN 37216-3062

Mailing address

1056 E Trinity LN Ste 104
Nashville, TN 37216-3062
Phone (812) 604-7446

Other names 1

  • Fundamental Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1056 E Trinity Ln
Ste 104
Nashville, TN 37216
Phone (615) 516-2236

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1568288918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 E TRINITY LN STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163062",
            "telephone_number": "812-604-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 E TRINITY LN STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163062",
            "telephone_number": "812-604-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERY PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "812-604-7446",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fundamental Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.