Active NPI
Nelson Anthony Liwag, PTA, LPN
- Physical Therapy Assistant
- Goodlettsville, TN
National Provider Identifier
1801093372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2319
- Practice address
- 813 S Dickerson Rd
Goodlettsville, TN 37072-1761 - Phone
- (615) 859-6600
- Fax
- (615) 859-6608
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2319 | TN | Primary |
Addresses
Primary practice location
813 S Dickerson Rd
Goodlettsville, TN 37072-1761
Mailing address
120 Windham Circle
Hendersonville, TN 37075
Phone (615) 826-7035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2319 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801093372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WINDHAM CIRCLE",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "37075",
"telephone_number": "615-826-7035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 S DICKERSON RD",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370721761",
"telephone_number": "615-859-6600",
"fax_number": "615-859-6608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIWAG",
"first_name": "NELSON",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "PTA, LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "2319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.