Active NPI
Easter Seals Tennessee
- Community/Behavioral Health Agency
- Brentwood, TN
National Provider Identifier
1609854116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- L000000009653
- Legal business name
- EASTER SEALS TENNESSEE
- Practice address
- 750 Old Hickory Blvd # 2-260
Brentwood, TN 37027-4528 - Phone
- (615) 292-6640
- Fax
- (615) 251-0994
- NPI assigned
- Jan 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rita S Baumgartner
- Title
- President & Ceo
- Phone
- (615) 292-6640
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | L000000009654 | TN | |
| Community/Behavioral Health Agency | 251S00000X | L000000009653 | TN | Primary |
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
750 Old Hickory Blvd # 2-260
Brentwood, TN 37027-4528
Mailing address
750 Old Hickory Blvd # 2-260
Brentwood, TN 37027-4528
Phone (615) 292-6640
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013709 | Other | TN | AETNA PROVIDER # |
| 4078521 | Other | TN | BC/BS DME PROVIDER # |
| 3131908 | Other | TN | BC/BS PROVIDER # |
| 323 | Medicaid | TN | |
| 3131908 | Other | TN | TENNCARE PROVIDER # |
| 4078521 | Other | TN | TENNCARE DME PROVIDER # |
National Provider Directory
National Provider DirectoryLocations
500 Wilson Pike Cir
Ste 228
Brentwood, TN 37027
55 25th St NW
Ste 210
Cleveland, TN 37311
Phone (615) 444-0597
759 W Church St
Ste 8
Lexington, TN 38351
Phone (731) 968-0017
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Cleveland, TN
- NPI 1053753491
-
- Behavior Technician
- Lexington, TN
- NPI 1477133049
-
- Behavior Technician
- Lexington, TN
- NPI 1740862549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423008000000",
"number": "1609854116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 OLD HICKORY BLVD # 2-260",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274528",
"telephone_number": "615-292-6640",
"fax_number": "615-251-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 OLD HICKORY BLVD # 2-260",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274528",
"telephone_number": "615-292-6640",
"fax_number": "615-251-0994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTER SEALS TENNESSEE",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-04",
"last_updated": "2015-02-04",
"status": "A",
"authorized_official_last_name": "BAUMGARTNER",
"authorized_official_first_name": "RITA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "615-292-6640"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "TN",
"license": "L000000009654",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TN",
"license": "L000000009653",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "2013709",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS DME PROVIDER #",
"identifier": "4078521",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER #",
"identifier": "3131908",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE PROVIDER #",
"identifier": "3131908",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE DME PROVIDER #",
"identifier": "4078521",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.