Active NPI
Kathryn Frances Dean
- Physical Therapist
- Clarksville, TN
National Provider Identifier
1821381955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2467
- Practice address
- 211 Dunbar Cave Rd
Suite a
Clarksville, TN 37043-8847 - Phone
- (931) 648-2224
- Fax
- (931) 648-2225
- NPI assigned
- May 23, 2011
- Last updated
- May 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 2467 | TN | Primary |
Addresses
Primary practice location
211 Dunbar Cave Rd
Suite a
Clarksville, TN 37043-8847
Mailing address
1615 Deerfield Dr
Clarksville, TN 37043-5986
Phone (931) 217-8314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110711000233 | TN | Practitioner - Physical Therapist in Private Practice | 6406034768 | Practice locations: Clarksville, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2467 | TN | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy Solutions | Physical Therapist | Current | Accepting new patients |
| Therapy Center Inc | Physical Therapist | Past | Accepting new patients |
Locations
851 Professional Park Dr
Clarksville, TN 37040
Phone (931) 542-2168
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clarksville, TN
- NPI 1326269119
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306108800000",
"number": "1821381955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 DEERFIELD DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435986",
"telephone_number": "931-217-8314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 DUNBAR CAVE RD",
"address_2": "SUITE A",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370438847",
"telephone_number": "931-648-2224",
"fax_number": "931-648-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "KATHRYN",
"middle_name": "FRANCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-23",
"last_updated": "2011-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "2467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.