Donald Fick

Individual provider Active NPI Physical Therapist · Lewisburg, TN

NPI 1831207455 · NPPES record last updated Mar 28, 2008

Key facts

NPI
1831207455
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
1221 Nashville Hwy
Lewisburg, TN 37091-2221
Phone
(931) 270-1232
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6832TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy LLC Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

1221 Nashville Hwy
Lewisburg, TN 37091-2221

Mailing address

1861 Devon Dr
Spring Hill, TN 37174-9248
Phone (850) 897-0747

Other identifiers

IdentifierTypeStateIssuer
6832OtherTNLICENSE #

Other providers in Lewisburg, TN

All providers in Lewisburg, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.