Organization Active NPI

True Vine Therapy Services

  • Physical Therapist
  • Hermitage, TN
National Provider Identifier
1780366153
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRUE VINE THERAPY SERVICES
Practice address
724 Copper Branch Rd
Hermitage, TN 37076-1675
Phone
(205) 218-4723
NPI assigned
Aug 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Dr. Micah Stanthony Givens, DPTNPI 1497276935
Title
Physical Therapist
Phone
(205) 218-4723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

724 Copper Branch Rd
Hermitage, TN 37076-1675

Mailing address

724 Copper Branch Rd
Hermitage, TN 37076-1675
Phone (205) 218-4723

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1780366153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 COPPER BRANCH RD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761675",
            "telephone_number": "205-218-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 COPPER BRANCH RD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761675",
            "telephone_number": "205-218-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE VINE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "GIVENS",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "STANTHONY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "205-218-4723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.