Individual provider Active NPI

Susan Rush, PT

  • Physical Therapist
  • McMinnville, TN
National Provider Identifier
1841908589
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
484 Issued in TN
Practice address
931 Old Smithville Rd
McMinnville, TN 37110-5934
Phone
(931) 414-2020
Fax
(931) 414-2028
NPI assigned
Nov 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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 484 TN Primary

Addresses

Primary practice location

931 Old Smithville Rd
McMinnville, TN 37110-5934

Mailing address

931 Old Smithville Rd
McMinnville, TN 37110-5934
Phone (931) 414-2020

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
484TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 3, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 3, 2022 Accepting new patients

Locations

931 Old Smithville Rd
McMinnville, TN 37110
Phone (931) 259-4144

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1841908589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 OLD SMITHVILLE RD",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371105934",
            "telephone_number": "931-414-2020",
            "fax_number": "931-414-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 OLD SMITHVILLE RD",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371105934",
            "telephone_number": "931-414-2020",
            "fax_number": "931-414-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.