Individual provider Active NPI

Alden Littlejohn, PT

  • Physical Therapist
  • Waynesboro, TN
National Provider Identifier
1902518178
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13817 Issued in TN
Practice address
321 Dexter L Woods Memorial Blvd Ste C
Waynesboro, TN 38485-2418
Phone
(931) 722-2464
Fax
(931) 722-2478
NPI assigned
Dec 20, 2022
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 13817 TN Primary

Addresses

Primary practice location

321 Dexter L Woods Memorial Blvd Ste C
Waynesboro, TN 38485-2418

Mailing address

514 S High St
Waynesboro, TN 38485-2615
Phone (931) 722-2778

Other practice location 1

514 S High St
Waynesboro, TN 38485-2615
Phone (931) 722-2778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108003832 TN Practitioner - Physical Therapist in Private Practice 5294186946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Physical TherapyGroup PAC ID 3476931965, 2 clinicians

Practice addresses (Care Compare)

321 Dexter L Woods Memorial Blvd
Suite B
Waynesboro, TN 38485-2418
Phone (931) 722-2464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sonnys Place of Waynesboro CurrentSince Jul 2, 2023 Accepting new patients
Prime Physical Therapy Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Prestige Physical Therapy PastSince Dec 1, 2022 Accepting new patients

Locations

303 E Broadway St
Collinwood, TN 38450
Phone (931) 722-2464

321 Dexter L Woods Memorial Blvd
#B
Waynesboro, TN 38485
Phone (931) 332-3541

321 Dexter L Woods Memorial Blvd
#C
Waynesboro, TN 38485
Phone (931) 332-3541

514 S High St
Waynesboro, TN 38485
Phone (931) 332-6858

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1902518178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S HIGH ST",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852615",
            "telephone_number": "931-722-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 DEXTER L WOODS MEMORIAL BLVD STE C",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852418",
            "telephone_number": "931-722-2464",
            "fax_number": "931-722-2478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 S High St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "TN",
            "postal_code": "384852615",
            "country_code": "US",
            "telephone_number": "931-722-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLEJOHN",
        "first_name": "ALDEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.