Individual provider Active NPI

Tanner Cole Simmons, DPT

  • Physical Therapist
  • Germantown, TN
National Provider Identifier
1609440585
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13459 Issued in TN
Practice address
2100 Exeter Rd Ste 200
Germantown, TN 38138-3966
Phone
(901) 522-6440
Fax
(901) 757-2507
NPI assigned
May 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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 13459 TN Primary

Addresses

Primary practice location

2100 Exeter Rd Ste 200
Germantown, TN 38138-3966

Mailing address

2100 Exeter Rd Ste 200
Germantown, TN 38138-3966
Phone (901) 522-6440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210528001673 TN Practitioner - Physical Therapist in Private Practice 4183023849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians

Practice addresses (Care Compare)

7336 Nolensville Rd
Suite 202
Nolensville, TN 37135-2975
Phone (615) 776-5215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13459TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC Physical Therapist CurrentSince May 21, 2021 Accepting new patients
Thrive Physical Therapy and Performance Current Accepting new patients
MSK Group, PC Physical Therapist CurrentSince May 21, 2021 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients
MSK Group PC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2100 Exeter Rd
Ste 200
Germantown, TN 38138
Phone (901) 522-6440

6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600

6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600

7336 Nolensville Rd
Ste 202
Nolensville, TN 37135
Phone (615) 776-5215

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1609440585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 EXETER RD STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383966",
            "telephone_number": "901-522-6440",
            "fax_number": "901-757-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EXETER RD STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383966",
            "telephone_number": "901-522-6440",
            "fax_number": "901-757-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TANNER",
        "middle_name": "COLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.