Organization Active NPI

Premier Physical Therapy Consulting

  • Physical Therapist
  • Nashville, TN
National Provider Identifier
1629675319
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PREMIER PHYSICAL THERAPY CONSULTING
Practice address
751B Lynwood Ave
Nashville, TN 37203-5029
Phone
(270) 305-1669
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Tyler Casey Workman, DPTNPI 1174906036
Title
Physical
Phone
(270) 305-1669

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

751B Lynwood Ave
Nashville, TN 37203-5029

Mailing address

751B Lynwood Ave
Nashville, TN 37203-5029
Phone (270) 305-1669

Other names 1

  • PTTC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL AdvancedMD.com Direct
Other URL AdvancedMD.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201016000105 TN Part B Supplier - Clinic/Group Practice 2769802545 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

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": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1629675319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751B LYNWOOD AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035029",
            "telephone_number": "270-305-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751B LYNWOOD AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035029",
            "telephone_number": "270-305-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "PHYSICAL",
        "authorized_official_telephone_number": "270-305-1669",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AdvancedMD.com",
            "affiliation": "N",
            "endpointDescription": "Documentation/Billing software cloud",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "751B Lynwood Ave",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372035029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AdvancedMD.com",
            "affiliation": "N",
            "endpointDescription": "Documentation/billing software cloud",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "751B Lynwood Ave",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372035029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PTTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PTTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 26, 2023; 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.