Individual provider Active NPI

Kathryn Frances Dean

  • Physical Therapist
  • Clarksville, TN
National Provider Identifier
1821381955
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2467 Issued in TN
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2011

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 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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2467TNMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy Solutions Physical Therapist CurrentSince Jun 22, 2022 Accepting new patients
Therapy Center Inc Physical Therapist PastSince Aug 29, 2012 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.

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.

Verify at the official NPI Registry.