Active NPI
Mechele Therese Clough, DPT
- Physical Therapist
- Livingston, TN
National Provider Identifier
1902321276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11436
- Practice address
- PO Box 494
Livingston, TN 38570-0494 - Phone
- (931) 823-1200
- Fax
- (931) 823-1209
- NPI assigned
- Aug 8, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11436 | TN | Primary |
Addresses
Primary practice location
PO Box 494
Livingston, TN 38570-0494
Mailing address
7385 Bradford Hicks Drive
P.O. Box 494
Livingston, TN 38570
Phone (931) 823-1200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11436 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine Center of the Cumberlands | Current | Accepting new patients |
Locations
7385 Bradford Hicks Dr
Livingston, TN 38570
Phone (931) 823-1200
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Livingston, TN
- NPI 1326048737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902321276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7385 BRADFORD HICKS DRIVE",
"address_2": "P.O. BOX 494",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "38570",
"telephone_number": "931-823-1200",
"fax_number": "931-823-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 494",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385700494",
"telephone_number": "931-823-1200",
"fax_number": "931-823-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUGH",
"first_name": "MECHELE",
"middle_name": "THERESE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "11436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TN
Sources for this page
- 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.