Mia McCall Gregory

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11440 Issued in TN

Practice address

201 N Oak Ave
Cookeville, TN 38501-2437

Phone

(931) 528-2128

Fax

(931) 378-8679

NPI assigned

Aug 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Cumberland Physical Therapy and Rehabilitation

  • Rehabilitation Clinic/Center
  • Sparta, TN
  • NPI 1801963590
  NPD

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871019414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012437",
            "telephone_number": "931-528-2128",
            "fax_number": "931-378-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012437",
            "telephone_number": "931-528-2128",
            "fax_number": "931-378-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "MIA",
        "middle_name": "MCCALL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "446592",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Lynn Greenwood, MED
• Erica Lynn Greenwood, PHARM D
• Sara Greenwood
• Kayla Rhea Greer, APRN
• Donna Katheryn Gregory, SLP
• Kimela Leann Griffith, MS CCC SLP
• Adam Grimm, DDS
• Kenneth A Grinspun, M.D.
• Donald Wesley Grisham, M.D.
• James M Grisolano Jr., M.D.

• Physical Therapist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.