Individual provider Active NPI

Skylar Mefford

  • Physical Therapist
  • Fayetteville, TN
National Provider Identifier
1740834159
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12515 Issued in TN
Practice address
1412 Huntsville Hwy
Fayetteville, TN 37334-3606
Phone
(931) 438-6335
Fax
(931) 438-6337
NPI assigned
Jul 25, 2019
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12515 TN Primary

Addresses

Primary practice location

1412 Huntsville Hwy
Fayetteville, TN 37334-3606

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-8930

Other practice location 1

1660 W College St Ste 6
Pulaski, TN 38478-5206
Phone (931) 424-5588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200608003034 TN Practitioner - Physical Therapist in Private Practice 1355762873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians

Practice addresses (Care Compare)

1412 Huntsville Hwy
Fayetteville, TN 37334-3606
Phone (931) 438-6335

2030 Cowan Hwy
Suite 1
Winchester, TN 37398-2425
Phone (931) 968-1080

808 N Locust Ave
Lawrenceburg, TN 38464-2804
Phone (931) 762-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12515TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Feb 13, 2020 Accepting new patients
Independent Physical Therapy LLC Physical Therapist CurrentSince Feb 13, 2020 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Results-Ast JV, LLC Physical Therapist PastSince Jun 21, 2022 Accepting new patients

Locations

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

26448 Main St
Ardmore, TN 38449
Phone (931) 427-4050

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

1412 Huntsville Hwy
Fayetteville, TN 37334
Phone (931) 438-6335

1660 W College St
Ste 6
Pulaski, TN 38478
Phone (931) 424-5588

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

Organizations & group practices 4

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1740834159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-8930",
            "fax_number": "423-254-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 HUNTSVILLE HWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343606",
            "telephone_number": "931-438-6335",
            "fax_number": "931-438-6337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 W College St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "TN",
            "postal_code": "384785206",
            "country_code": "US",
            "telephone_number": "931-424-5588",
            "fax_number": "931-424-5590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEFFORD",
        "first_name": "SKYLAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12515",
            "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 Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.