Active NPI
Rebecca Pelham, PT
- Physical Therapist
- Hendersonville, TN
National Provider Identifier
1619718889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5373
- Practice address
- 209 Shivel Dr
Hendersonville, TN 37075-3518 - Phone
- (615) 994-1864
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5373 | TN | Primary |
Addresses
Primary practice location
209 Shivel Dr
Hendersonville, TN 37075-3518
Mailing address
212 Aqueduct PL
Gallatin, TN 37066-1428
Phone (615) 400-2772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5373 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1619718889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 AQUEDUCT PL",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370661428",
"telephone_number": "615-400-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 SHIVEL DR",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370753518",
"telephone_number": "615-994-1864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELHAM",
"first_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "5373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.