Individual provider Active NPI

Lisa N. Hines, ,PT,DPT

  • Physical Therapist
  • Clarksville, TN
National Provider Identifier
1588630016
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6767 Issued in TN
Practice address
1492 Tiny Town Rd Ste A1
Clarksville, TN 37042-7874
Phone
(615) 758-1030
NPI assigned
Feb 24, 2006
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6767 TN Primary

Addresses

Primary practice location

1492 Tiny Town Rd Ste A1
Clarksville, TN 37042-7874

Mailing address

1492 Tiny Town Rd Ste A1&A2
Clarksville, TN 37042-7873
Phone (931) 933-0918

Other names 1

  • Lisa Nanette Upton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002003090 TN Practitioner - Physical Therapist in Private Practice 7618321167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1492 Tiny Town Rd
Suite A1
Clarksville, TN 37042-7874
Phone (615) 370-9992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6767TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Tennessee LLC CurrentSince Feb 24, 2025 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Feb 24, 2025 Accepting new patients
High Pointe Rehab LLC CurrentSince Jul 25, 2023 Accepting new patients

Locations

5380 Hickory Hollow Pkwy
Ste 201
Antioch, TN 37013
Phone (615) 891-2056

317 Seven Springs Way
Ste 101
Brentwood, TN 37027
Phone (615) 309-2636

1492 Tiny Town Rd
Ste A1
Clarksville, TN 37042
Phone (615) 758-1030

461 Pond Apple Rd
Clarksville, TN 37043
Phone (931) 920-4333

1047 Glenbrook Way
Ste 110
Hendersonville, TN 37075
Phone (615) 943-5027

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

1405 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 728-8152

4998 Crossings Cir
Ste 200
Mt Juliet, TN 37122

2113 Memorial Blvd
Ste D
Murfreesboro, TN 37129
Phone (615) 640-6447

820 N Thompson Ln
Ste 1H
Murfreesboro, TN 37129
Phone (615) 758-1027

1214 Gallatin Ave
Ste 105
Nashville, TN 37206
Phone (571) 982-8850

330 Wallace Rd
Ste 1
Nashville, TN 37211
Phone (615) 933-2009

1114 N Main St
Ste B
Shelbyville, TN 37160
Phone (615) 217-9821

4816 Main St
Ste L
Spring Hill, TN 37174
Phone (615) 861-4444

707 Highway 76
White House, TN 37188
Phone (615) 581-7240

Interoperability endpoints

  • Direct secure messaging: lisa.hines.1@25094.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1588630016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 TINY TOWN RD STE A1&A2",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427873",
            "telephone_number": "931-933-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 TINY TOWN RD STE A1",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427874",
            "telephone_number": "615-758-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "LISA",
        "middle_name": "N.",
        "name_prefix": "Miss",
        "credential": ",PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "UPTON",
            "middle_name": "NANETTE",
            "credential": "PT,DPT,OCS",
            "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 Feb 18, 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.