Individual provider Active NPI

Nicholas Tyson Bird, MPT

  • Physical Therapist
  • Germantown, TN
National Provider Identifier
1902213622
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7603 Issued in TN
Practice address
8040 Wolf River Blvd Ste 102
Germantown, TN 38138-1773
Phone
(015) 226-4409
Fax
(901) 757-2507
NPI assigned
Jul 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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 7603 TN Primary

Addresses

Primary practice location

8040 Wolf River Blvd Ste 102
Germantown, TN 38138-1773

Mailing address

8040 Wolf River Blvd Ste 102
Germantown, TN 38138-1773
Phone (015) 226-4409

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602002037 AL Practitioner - Physical Therapist in Private Practice 8820313695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Health System - the Orthopaedic Center LLCGroup PAC ID 0547624843, 172 clinicians

Practice addresses (Care Compare)

303 Beltline PL SW
Suite A1
Decatur, AL 35603-1716
Phone (256) 529-2728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7603TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Sep 3, 2023 Accepting new patients
The Orthopaedic Center CurrentSince May 15, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist PastSince Jul 1, 2020 Accepting new patients
CC Bpci PLC Past Accepting new patients
MSK Group PC Physical Therapist Past Accepting new patients

Locations

303 Beltline Pl SW
Ste A1
Decatur, AL 35603
Phone (256) 529-2728

927 Franklin St SE
Fl 2
Huntsville, AL 35801
Phone (256) 428-3000

927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000

927 Franklin St SE
Fl 1
Huntsville, AL 35801

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

8475 Wann Dr NW
Madison, AL 35758
Phone (256) 539-2738

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 5

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1902213622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 WOLF RIVER BLVD STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381773",
            "telephone_number": "015-226-4409",
            "fax_number": "901-757-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 WOLF RIVER BLVD STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381773",
            "telephone_number": "015-226-4409",
            "fax_number": "901-757-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "NICHOLAS",
        "middle_name": "TYSON",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.