Anessa Lor Nixon, DPT

Individual provider Active NPI Physical Therapist · Westmoreland, TN

NPI 1629647250 · NPPES record last updated Jun 18, 2021

Key facts

NPI
1629647250
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
009133 (TN)
Practice address
12124 Hwy 52 W
Suite D
Westmoreland, TN 37186-9998
Phone
(615) 644-6555
Fax
(615) 644-6557
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
009133TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nulife Physical Therapy Inc. Physical Therapist Current
since Jun 22, 2021
Accepting new patients

Locations

705 S Broadway St
Portland, TN 37148
Phone (615) 323-5050

12124 Highway 52 W
Ste D
Westmoreland, TN 37186
Phone (615) 639-0901

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 009133 TN Yes

Addresses

Primary practice location

12124 Hwy 52 W
Suite D
Westmoreland, TN 37186-9998

Mailing address

705 S Broadway St
Suite B
Portland, TN 37148-1628
Phone (615) 325-9007

Other providers in Westmoreland, TN

All providers in Westmoreland, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.