Organization Active NPI

Core Solutions Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Nashville, TN
National Provider Identifier
1609891589
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CORE SOLUTIONS PHYSICAL THERAPY, LLC
Practice address
2300 21St Ave S
Suite 303
Nashville, TN 37212-4968
Phone
(615) 292-0199
Fax
(615) 292-0357
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Ms. Karen Lynne Odom, P.T., M.O.M.T.NPI 1770572455
Title
Sole Owner/Member
Phone
(615) 292-0199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2300 21St Ave S
Suite 303
Nashville, TN 37212-4968

Mailing address

PO Box 40525
Nashville, TN 37204-0525
Phone (615) 292-0199

Other identifiers 1

IdentifierTypeStateIssuer
4126434OtherTNBCBS GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060912000237 TN Part B Supplier - Clinic/Group Practice 4789688474 Receives reassigned benefits from 1 practitioner
Practice locations: Hermitage, TN

National Provider Directory

National Provider Directory

Locations

4777 Andrew Jackson Pkwy
Ste 101
Hermitage, TN 37076
Phone (615) 889-0134

2300 21st Ave S
Ste 303
Nashville, TN 37212
Phone (615) 292-0199

413 E Iris Dr
Nashville, TN 37204
Phone (615) 292-0199

Practitioners & affiliated clinicians

Practitioners 1

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1609891589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40525",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372040525",
            "telephone_number": "615-292-0199",
            "fax_number": "615-292-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 21ST AVE S",
            "address_2": "SUITE 303",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124968",
            "telephone_number": "615-292-0199",
            "fax_number": "615-292-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE SOLUTIONS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "SOLE OWNER/MEMBER",
        "authorized_official_telephone_number": "615-292-0199",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T., M.O.M.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "4126434",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.