Individual provider Active NPI

Erin Mackay Gatgens, LPT, DPT

  • Physical Therapist
  • Antioch, TN
National Provider Identifier
1639378458
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7863 Issued in TN
Practice address
889B Bell Rd
Ste a-7a
Antioch, TN 37013-3101
Phone
(423) 717-6262
Fax
(615) 717-6890
NPI assigned
Jul 12, 2007
Last updated
Jan 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7863 TN Primary

Addresses

Primary practice location

889B Bell Rd
Ste a-7a
Antioch, TN 37013-3101

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Other names 1

  • Ms. Erin Mackay Ebelhar Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071029000372 TN Practitioner - Physical Therapist in Private Practice 4284721945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Sports Medicine and Orthopaedic Center PLCGroup PAC ID 8729009634, 90 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 200
Nashville, TN 37203-2689
Phone (615) 324-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince May 2, 2010 Accepting new patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince May 2, 2010 Accepting new patients
Independent Physical Therapy PastSince Feb 9, 2015 Accepting new patients
The Smith Clinic for Physical Therapy Physical Therapist PastSince Jul 17, 2003 Accepting new patients

Locations

2004 Hayes St
Ste 200
Nashville, TN 37203
Phone (615) 284-2000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1639378458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889B BELL RD",
            "address_2": "STE A-7A",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133101",
            "telephone_number": "423-717-6262",
            "fax_number": "615-717-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATGENS",
        "first_name": "ERIN",
        "middle_name": "MACKAY",
        "name_prefix": "Mrs.",
        "credential": "LPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "EBELHAR",
            "middle_name": "MACKAY",
            "prefix": "MS.",
            "credential": "LPT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.