Organization Active NPI

Tennessee Rehabilitation Medicine Specialists PLLC

  • Physical Medicine & Rehabilitation Physician
  • Brentwood, TN
National Provider Identifier
1649033853
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TENNESSEE REHABILITATION MEDICINE SPECIALISTS PLLC
Practice address
1805 Williamson CT
Brentwood, TN 37027-8164
Phone
(903) 571-3844
Fax
(855) 343-5763
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Wesley A PeaceNPI 1932594702
Title
Member
Phone
(903) 571-3844

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 Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X

Addresses

Primary practice location

1805 Williamson CT
Brentwood, TN 37027-8164

Mailing address

1805 Williamson CT
Brentwood, TN 37027-8164
Phone (903) 571-3844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240521003479 TN Part B Supplier - Clinic/Group Practice 1951743095 Receives reassigned benefits from 2 practitioners
Practice locations: Brentwood, TN

National Provider Directory

National Provider Directory

Locations

1805 Williamson Ct
Ste 300
Brentwood, TN 37027
Phone (903) 571-3844

Practitioners & affiliated clinicians

Practitioners 3

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": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1649033853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 WILLIAMSON CT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278164",
            "telephone_number": "903-571-3844",
            "fax_number": "855-343-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 WILLIAMSON CT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278164",
            "telephone_number": "903-571-3844",
            "fax_number": "855-343-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE REHABILITATION MEDICINE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "PEACE",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "903-571-3844"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.