Tennessee Physical Therapy Services of Mt Juliet, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TENNESSEE PHYSICAL THERAPY SERVICES OF MT JULIET, LLC

Doing business as

Tennessee Physical Therapy Services of Mt Juliet

Practice address

103 Belinda Pkwy
Mt Juliet, TN 37122-8611

Phone

(615) 288-1766

Fax

(615) 288-1768

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Joshua L. Proffitt

Title

President

Phone

(337) 233-1307

Specialties & licenses 3

Addresses

Other names 1

• Tennessee Physical Therapy Services of Mt Juliet Doing business as

Locations

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1710558127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-441-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BELINDA PKWY",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371228611",
            "telephone_number": "615-288-1766",
            "fax_number": "615-288-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE PHYSICAL THERAPY SERVICES OF MT JULIET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Physical Therapy Services of Mt Juliet",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tennessee Physical Therapy Services of Mt Juliet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.