Individual provider Active NPI

Dana Quick, PT

  • Physical Therapist
  • Fayetteville, TN
National Provider Identifier
1730809039
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3386 Issued in TN
Practice address
1229 Huntsville Hwy Ste B
Fayetteville, TN 37334-3685
Phone
(831) 532-0960
NPI assigned
Aug 29, 2022
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 3386 TN
Physical Therapist 225100000X 3386 TN Primary

Addresses

Primary practice location

1229 Huntsville Hwy Ste B
Fayetteville, TN 37334-3685

Mailing address

8059 Mitchell LN
Vestavia Hills, AL 35216-6821

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110000664 TN Practitioner - Physical Therapist in Private Practice 8729458633 Reassigns benefits to 2 organizations
Practice locations: Decherd, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3386TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients

Locations

203 Narrows Pkwy
Ste D
Birmingham, AL 35242
Phone (205) 719-2420

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

1999 Rutledge Pike
Blaine, TN 37709
Phone (865) 498-6900

1754 Decherd Blvd
Decherd, TN 37324
Phone (205) 607-0632

1229 Huntsville Hwy
Ste B
Fayetteville, TN 37334
Phone (205) 999-4622

7212 Kingston Pike
Ste 105
Knoxville, TN 37919
Phone (856) 770-5100

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

Organizations & group practices 3

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1730809039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8059 MITCHELL LN",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352166821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 HUNTSVILLE HWY STE B",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343685",
            "telephone_number": "831-532-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "DANA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "3386",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "3386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.