Active NPI
Samuel Ward Peebles, PT
- Physical Therapist
- Smyrna, TN
National Provider Identifier
1740357789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3810
- Practice address
- 301 Wolverine TRL Ste 201
Smyrna, TN 37167-5656 - Phone
- (615) 220-5796
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3810 | TN | Primary |
Addresses
Primary practice location
301 Wolverine TRL Ste 201
Smyrna, TN 37167-5656
Mailing address
517 Rochelle Dr
Nashville, TN 37220
Phone (615) 333-7228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3810 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1740357789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 ROCHELLE DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37220",
"telephone_number": "615-333-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 WOLVERINE TRL STE 201",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675656",
"telephone_number": "615-220-5796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEBLES",
"first_name": "SAMUEL",
"middle_name": "WARD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT3810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.