Megan E Coble, DPT

Individual provider Active NPI Physical Therapist · Pulaski, TN

NPI 1881007458 · NPPES record last updated Apr 5, 2023

Key facts

NPI
1881007458
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
10009 (TN)
Practice address
1119 E College St Ste 3
Pulaski, TN 38478-4564
Phone
(931) 330-0850
Fax
(931) 330-0855
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P4 Physical Therapy Limited Partnership (64 clinicians)

Practice addresses (Care Compare)

1229 Huntsville Hwy
Suite B
Fayetteville, TN 37334-3685
Phone (931) 532-0960

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140812000395 TN Practitioner - Physical Therapist in Private Practice 4183841349 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
10009TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
P4 Physical Therapy Limited Partnership Physical Therapist Current
since May 1, 2023
Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist Current
since May 1, 2023
Accepting new patients
Independent Physical Therapy, LLC Physical Therapist Current
since Aug 1, 2015
Accepting new patients

Locations

203 Narrows Pkwy
Ste D
Birmingham, AL 35242
Phone (205) 719-2420

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

1229 Huntsville Hwy
Ste B
Fayetteville, TN 37334
Phone (205) 999-4622

820 Scenic Hwy
Ste B
Lookout Mtn, TN 37350
Phone (423) 825-1393

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

203 Village Sq
Pulaski, TN 38478
Phone (931) 424-5588

1119 E College St
Ste 3
Pulaski, TN 38478
Phone (931) 347-9125

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10009 TN Yes

Addresses

Primary practice location

1119 E College St Ste 3
Pulaski, TN 38478-4564

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Other practice location 1

203 Village Sq
Pulaski, TN 38478-2929
Phone (931) 424-5588

Other names

  • Megan E Boatright Former name

Other providers in Pulaski, TN

All providers in Pulaski, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.