Individual provider Active NPI

Samantha Colleen Canup

  • Physical Therapist
  • Springfield, TN
National Provider Identifier
1770143190
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12348 Issued in TN
Practice address
3556 Tom Austin Hwy Ste 2
Springfield, TN 37172-3960
Phone
(615) 492-4595
Fax
(615) 432-4292
NPI assigned
Jun 18, 2019
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 12348 TN Primary

Addresses

Primary practice location

3556 Tom Austin Hwy Ste 2
Springfield, TN 37172-3960

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other names 1

  • Samantha Colleen Cook Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191111001288 TN Practitioner - Physical Therapist in Private Practice 3678905742 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
Inspired PT LLCGroup PAC ID 6305214297, 17 clinicians

Practice addresses (Care Compare)

230 New Shackle Island Rd
Suite 120
Hendersonville, TN 37075-2483
Phone (615) 989-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12348TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired PT, LLC Physical Therapist CurrentSince Sep 18, 2024 Accepting new patients
Inspired PT, LLC Physical Therapist CurrentSince Sep 18, 2024 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

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

132 N Belvedere Dr
Gallatin, TN 37066
Phone (615) 451-1877

840 N Bluejay Way
Ste 107
Gallatin, TN 37066
Phone (615) 989-0420

900 Conference Dr
Ste 3B
Goodlettsville, TN 37072
Phone (615) 550-0000

262 New Shackle Island Rd
Ste 210
Hendersonville, TN 37075
Phone (615) 507-1552

230 New Shackle Island Rd
Ste 120
Hendersonvlle, TN 37075
Phone (615) 989-0660

4909 Nolensville Rd
Nashville, TN 37211
Phone (615) 333-9828

3556 Tom Austin Hwy
Ste 2
Springfield, TN 37172
Phone (615) 492-4595

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

2655 Decherd Blvd
Winchester, TN 37398

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1770143190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 TOM AUSTIN HWY STE 2",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723960",
            "telephone_number": "615-492-4595",
            "fax_number": "615-432-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANUP",
        "first_name": "SAMANTHA",
        "middle_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "COOK",
            "middle_name": "COLLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.