Individual provider Active NPI

Jeffrey Brooks Altizer, DPT

  • Orthopedic Physical Therapist
  • Nashville, TN
National Provider Identifier
1851632178
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT0000008811 Issued in TN
Practice address
2021 Church St Ste 102
Nashville, TN 37203-2040
Phone
(615) 284-7555
Fax
(615) 284-7075
NPI assigned
Mar 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT0000008811 TN Primary

Addresses

Primary practice location

2021 Church St Ste 102
Nashville, TN 37203-2040

Mailing address

2021 Church St Ste 102
Nashville, TN 37203-2040
Phone (615) 284-7555

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT0000008811TNMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1851632178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032040",
            "telephone_number": "615-284-7555",
            "fax_number": "615-284-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032040",
            "telephone_number": "615-284-7555",
            "fax_number": "615-284-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTIZER",
        "first_name": "JEFFREY",
        "middle_name": "BROOKS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "PT0000008811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.