Andrew Black
Individual provider Active NPI Physical Therapist · Fayetteville, TN
NPI 1669324414 · NPPES record last updated Feb 13, 2026
Key facts
- NPI
- 1669324414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16924 (TN)
- Practice address
- 2649 Huntsville Hwy
Fayetteville, TN 37334-6778 - Phone
- (931) 557-5030
- NPI assigned
- Feb 13, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therafit, LLC
Practice addresses (Care Compare)
2649 Huntsville Hwy
Fayetteville, TN 37334-6778
Phone (356) 829-9544
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260224001800 | TN | Practitioner - Physical Therapist in Private Practice | 4385125749 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16924 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therafit, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
12819 Highway 231 431 N
#G
Hazel Green, AL 35750
Phone (256) 829-9544
2649 Huntsville Hwy
Fayetteville, TN 37334
Phone (356) 829-9544
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16924 | TN | Yes |
Addresses
Primary practice location
2649 Huntsville Hwy
Fayetteville, TN 37334-6778
Mailing address
2649 Huntsville Hwy
Fayetteville, TN 37334-6778
Other providers in Fayetteville, TN
- Lana Sharon Beavers
- Walter Charles Bennett Jr.
- Andrea Teal Bergman
- Tom Spain Bigham III
- Bio-Medical Applications of Tennessee, Inc.
- Blessed Care
- Caitlin Alyse Bradford
- Amanda Bradley
- James David Bray
- Dalton James Brewer
All providers in Fayetteville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.