NPIMap

Organization Active NPI

Lawrenceburg Physical Therapy, LLC

  • Physical Therapist
  • Lawrenceburg, TN
National Provider Identifier
1902964042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5740 Issued in TN
Legal business name
LAWRENCEBURG PHYSICAL THERAPY, LLC
Practice address
111 Weakley Creek Rd
Suite 3
Lawrenceburg, TN 38464-2237
Phone
(931) 766-4021
Fax
(931) 766-4022
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Amy S Smith, PTNPI 1982680559
Title
Physical Therapist, Co-Owner
Phone
(931) 766-4021

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 5740 TN Primary

Addresses

Primary practice location

111 Weakley Creek Rd
Suite 3
Lawrenceburg, TN 38464-2237

Mailing address

111 Weakley Creek Rd
Suite 3
Lawrenceburg, TN 38464-2237
Phone (931) 766-4021

Other identifiers 2

IdentifierTypeStateIssuer
3653669MedicaidTN
4001104OtherTNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

111 Weakley Creek Rd
Ste 3
Lawrenceburg, TN 38464
Phone (931) 766-4021

111 Weakley Creek Rd
Lawrenceburg, TN 38464
Phone (931) 766-4021

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902964042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WEAKLEY CREEK RD",
            "address_2": "SUITE 3",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642237",
            "telephone_number": "931-766-4021",
            "fax_number": "931-766-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WEAKLEY CREEK RD",
            "address_2": "SUITE 3",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642237",
            "telephone_number": "931-766-4021",
            "fax_number": "931-766-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEBURG PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, CO-OWNER",
        "authorized_official_telephone_number": "931-766-4021",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3653669",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4001104",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.