Mndfl Physio LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MNDFL PHYSIO LLC

Practice address

405 Midnight Sun Cir
Nashville, TN 37211-6822

Phone

(847) 227-7773

NPI assigned

Jun 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Drees, PT, DPTNPI 1407205669

Title

Physical Therapist

Phone

(847) 227-7773

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jacqueline Drees, DPT

  • Physical Therapist
  • Smyrna, TN
  • NPI 1407205669
  NPD Authorized official

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1841815628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MIDNIGHT SUN CIR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372116822",
            "telephone_number": "847-227-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MIDNIGHT SUN CIR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372116822",
            "telephone_number": "847-227-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNDFL PHYSIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "DREES",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "847-227-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Mizukawa, D.M.D.
• Rosa Mizzoni
• Angie Rose Mladenovic
• Anna Elizabeth Mlodzik, RN
• MMS Knoxville Inc
• Mo D Consulting LLC
• Ahmad Moadi
• Richard C Moak, CRNA
• Aaron Moberly, M.D.
• Anne Moberly

• Physical Therapy Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.