Fagan Geriatric Wellness and Rehabilitation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FAGAN GERIATRIC WELLNESS AND REHABILITATION

Practice address

143 E Prince St
Gallatin, TN 37066-2880

Phone

(615) 334-6983

Fax

(615) 581-0245

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Katherine Fagan, PT, GTCCS, GCS

Title

Coo, PT

Phone

(615) 334-6983

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

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

• Annabella Zizzi-Flamm

  • Physical Therapist
  • Gallatin, TN
  • NPI 1275148157
  NPD

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1841822525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026A HIGHWAY 31 W",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371888960",
            "telephone_number": "615-533-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E PRINCE ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662880",
            "telephone_number": "615-334-6983",
            "fax_number": "615-581-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAGAN GERIATRIC WELLNESS AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "COO, PT",
        "authorized_official_telephone_number": "615-334-6983",
        "authorized_official_credential": "PT, GTCCS, GCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Erickson
• Ferdinand S Espeleta, M.D.
• Frank C. Etlinger, D.C.
• Excel Physical Rehabilitation, LLC
• Faces of Hope Children'S Therapy Center
• Katherine Fagan, PT
• William T Faith, M.D.
• Kadene Kimani Falconer, DDS
• Family Chiropractic Center
• Family Health Care of Gallatin

• Physical Therapy Clinic/Center in Gallatin, TN
• Providers in Gallatin, 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 Aug 19, 2022; 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.