Organization Active NPI

Staveoff Tennessee LLC

Doing business as Southern Grit PT & Wellness

  • Physical Therapist
  • Hendersonville, TN
National Provider Identifier
1881332070
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STAVEOFF TENNESSEE LLC
Doing business as
Southern Grit PT & Wellness
Practice address
190D Saundersville Rd Ste 2002
Hendersonville, TN 37075-1008
Phone
(937) 671-7600
NPI assigned
May 26, 2022
Last updated
Aug 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Authorized official

Name
Shelby Leigh Blankenship, PT, DPTNPI 1730829706
Title
Owner
Phone
(615) 669-4043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

190D Saundersville Rd Ste 2002
Hendersonville, TN 37075-1008

Mailing address

190D Saundersville Rd Ste 2002
Hendersonville, TN 37075-1008
Phone (615) 669-4043

Other names 1

  • Southern Grit PT & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230324000050 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153795646 Receives reassigned benefits from 2 practitioners
Practice locations: Hendersonville, TN

National Provider Directory

National Provider Directory

Locations

190D Saundersville Rd
Ste 2002
Hendersonville, TN 37075
Phone (615) 669-4043

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788048000000",
    "number": "1881332070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190D SAUNDERSVILLE RD STE 2002",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751008",
            "telephone_number": "615-669-4043",
            "fax_number": "615-348-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190D SAUNDERSVILLE RD STE 2002",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751008",
            "telephone_number": "937-671-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAVEOFF TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-669-4043",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Grit PT & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; 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.