Patterson Physical Therapy LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PATTERSON PHYSICAL THERAPY LLC

Practice address

176 W University Pkwy Ste E-F
Jackson, TN 38305-1618

Phone

(731) 300-4950

Fax

(731) 300-4951

NPI assigned

May 7, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Patterson, PTNPI 1780715474

Title

Owner

Phone

(731) 300-4950

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Elizabeth Patterson, P.T.

  • Physical Therapist
  • Jackson, TN
  • NPI 1780715474

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Veronica Britt Ashlock, PT

  • Physical Therapist
  • Jackson, TN
  • NPI 1669594461
  Medicare reassignment Care Compare group NPD
• Baylee Bryant Clifton

  • Occupational Therapist
  • Jackson, TN
  • NPI 1720761398
  Medicare reassignment Care Compare group NPD
• Laura Caitlin Courtner, PT, DPT

  • Physical Therapist
  • Jackson, TN
  • NPI 1134551419
  Medicare reassignment Care Compare group NPD
• Maria Rossana S. Datuin, PT

  • Physical Therapist
  • Jackson, TN
  • NPI 1649248097
  Medicare reassignment Care Compare group NPD
• Madonna Nacole Howerton-Bradley, PT

  • Physical Therapist
  • Jackson, TN
  • NPI 1437213147
  Medicare reassignment Care Compare group NPD
• Gerardo Adrian Jara

  • Physical Therapist
  • Jackson, TN
  • NPI 1821502402
  Medicare reassignment Care Compare group NPD
• Aneri Shah, DPT

  • Physical Therapist
  • Hermitage, TN
  • NPI 1154070373
  Medicare reassignment Care Compare group NPD
• Sequoyha Raechelle Outlaw, PT

  • Physical Medicine & Rehabilitation Physician
  • Jackson, TN
  • NPI 1659921948
  Medicare reassignment NPD
• Laura Wilson, PT, DPT

  • Physical Therapist
  • Jackson, TN
  • NPI 1760147789
  Medicare reassignment NPD
• Cynthia Leigh Thomson, DPT

  • Physical Therapist
  • Alexandria, VA
  • NPI 1528298932

  TN

  Medicare reassignment NPD
• Naomi D Watson, PA-C

  • Medical Physician Assistant
  • Jackson, TN
  • NPI 1912274614
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1770928533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 W UNIVERSITY PKWY STE E-F",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051618",
            "telephone_number": "731-300-4950",
            "fax_number": "731-300-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 W UNIVERSITY PKWY STE E-F",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051618",
            "telephone_number": "731-300-4950",
            "fax_number": "731-300-4951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 US Highway 45 W",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "TN",
            "postal_code": "383438503",
            "country_code": "US",
            "telephone_number": "731-784-7771",
            "fax_number": "731-300-4951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1492 S Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "38301",
            "country_code": "US",
            "telephone_number": "731-300-4950",
            "fax_number": "731-300-4951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 W University Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383051618",
            "country_code": "US",
            "telephone_number": "731-300-4950",
            "fax_number": "731-300-4951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATTERSON PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-300-4950",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000003309",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q073075",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3378522",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathways of Tennessee, Inc.
• Pathways of Tennessee, Inc.
• Pathways of Tennessee,Inc
• Patient Centered Physician'S Care, P.C.
• Kimba Patrick
• Alice Patterson, O.T.
• Laura Elizabeth Patterson, P.T.
• Melanie Page Patterson, LPC-MHSP
• Ralph E Patterson, DO
• Darlene McDonald Patton, D.PH.

• Physical Medicine & Rehabilitation Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Physical Medicine & Rehabilitation Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.