Nathan Yoder, PT
Individual provider Active NPI Physical Therapist · South Fulton, TN
NPI 1689065971 · NPPES record last updated Jul 30, 2025
Key facts
- NPI
- 1689065971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6095 (TN)
- Practice address
- 306 Connell Dr
South Fulton, TN 38257-2802 - Phone
- (731) 592-1072
- NPI assigned
- Feb 9, 2015
- Reactivated
- Jul 30, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aegis Group Practice LLC
Practice addresses (Care Compare)
1535 Appling Care LN
Cordova, TN 38016-4994
Phone (901) 883-0262
306 Connell Dr
South Fulton, TN 38257-2802
Phone (731) 592-1072
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250826001073 | TN | Practitioner - Physical Therapist in Private Practice | 6103145438 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6095 | TN | MD | Pharmacist |
| 4736 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Physical Therapist | Current |
Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| At Home Outpatient Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1535 Appling Care Ln
Cordova, TN 38016
Phone (901) 377-7500
Interoperability endpoints
- nathan.yoder.1@1591.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6095 | TN | Yes |
| Physical Therapist | 225100000X | 4736 | KY |
Addresses
Primary practice location
306 Connell Dr
South Fulton, TN 38257-2802
Mailing address
306 Connell Dr
South Fulton, TN 38257-2802
Phone (731) 592-1072
Other providers in South Fulton, TN
- Southside Drug Inc
- Audiene M Stoneham Nance
- Kimberly A Tilghman-Burch
- Joshua Drew Whitledge
- Virgil Dale Yates
All providers in South Fulton, 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 Jul 30, 2025. 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.