Tonya D Creasy, PHYSICAL THERAPIST

Individual provider Active NPI Physical Therapist · Lafayette, TN

NPI 1760971121 · NPPES record last updated May 1, 2018

Key facts

NPI
1760971121
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
3557 (TN)
Practice address
505 Ellington Dr Ste a
Lafayette, TN 37083-1074
Phone
(615) 666-5095
Fax
(615) 666-2254
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehabilitation of Lafayette Inc Past
since May 16, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3557 TN Yes

Addresses

Primary practice location

505 Ellington Dr Ste a
Lafayette, TN 37083-1074

Mailing address

PO Box 629
Lafayette, TN 37083-0629
Phone (615) 666-5095

Other providers in Lafayette, TN

All providers in Lafayette, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.