Individual provider Active NPI

Samuel Arnold, DPT

  • Physical Therapist
  • Hermitage, TN
National Provider Identifier
1639745342
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13421 Issued in TN
Practice address
302 Old Lebanon Dirt Rd Ste 200
Hermitage, TN 37076-2391
Phone
(615) 391-4545
Fax
(615) 391-4546
NPI assigned
Jun 2, 2021
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 13421 TN Primary

Addresses

Primary practice location

302 Old Lebanon Dirt Rd Ste 200
Hermitage, TN 37076-2391

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

1018 W Main St
Lebanon, TN 37087-3656
Phone (615) 391-4545

Other practice location 2

3500 N Mount Juliet Rd Ste 205
MT Juliet, TN 37122-3018
Phone (615) 391-4545

Other practice location 3

2041 Overhill Dr Ste 100
Nashville, TN 37215-3455
Phone (615) 391-4545

Other practice location 4

300 Stonecrest Blvd Ste 230
Smyrna, TN 37167-6800
Phone (615) 391-4545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211210001579 TN Practitioner - Physical Therapist in Private Practice 2365832086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
East Tennessee State University Quillen College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

11130 Kingston Pike
Suite 3
Knoxville, TN 37934-2800
Phone (865) 777-1080

1632 W Broadway Ave
Maryville, TN 37801-5600
Phone (865) 984-1996

2336 Market Place Dr
Maryville, TN 37801-8704
Phone (865) 984-3141

5220 Park Ave
Suite 201
Memphis, TN 38119-3549
Phone (901) 683-9630

631 N Campbell Station Rd
Suite 1600
Farragut, TN 37934-1628
Phone (865) 777-0367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jul 27, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

275 Jackson Meadows Dr
Ste 101
Hermitage, TN 37076
Phone (615) 885-7848

3810 Central Pike
Ste 102
Hermitage, TN 37076
Phone (615) 915-5000

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 2

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1639745342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 OLD LEBANON DIRT RD STE 200",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762391",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370873656",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 N Mount Juliet Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223018",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2041 Overhill Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372153455",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Stonecrest Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676800",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "SAMUEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.