Organization Active NPI

McMinnville Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • McMinnville, TN
National Provider Identifier
1598065765
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8536 Issued in TN
Legal business name
MCMINNVILLE PHYSICAL THERAPY, LLC
Practice address
2391 S Chancery St
McMinnville, TN 37110-3614
Phone
(931) 474-7755
Fax
(931) 474-7758
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Authorized official

Name
Zachary Sutton, PT
Title
Owner/Therapist
Phone
(931) 474-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8536 TN Primary

Addresses

Primary practice location

2391 S Chancery St
McMinnville, TN 37110-3614

Mailing address

2391 S Chancery St
McMinnville, TN 37110-3614
Phone (931) 474-7755

National Provider Directory

National Provider Directory

Locations

2391 S Chancery St
McMinnville, TN 37110
Phone (931) 474-7755

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498608000000",
    "number": "1598065765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 S CHANCERY ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371103614",
            "telephone_number": "931-474-7755",
            "fax_number": "931-474-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 S CHANCERY ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371103614",
            "telephone_number": "931-474-7755",
            "fax_number": "931-474-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMINNVILLE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2017-06-28",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "931-474-7755",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "8536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.