Nicole Marie Cresswell, MSPT
Individual provider Active NPI Physical Therapist · Madisonville, TN
NPI 1922048347 · NPPES record last updated Sep 3, 2015
Key facts
- NPI
- 1922048347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT0000004777 (TN)
- Practice address
- 4249 Highway 411
Ste 4
Madisonville, TN 37354-1544 - Phone
- (423) 436-0309
- Fax
- (423) 436-0310
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Miami, LM Miller School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agilitas USA, Inc
Practice addresses (Care Compare)
5220 Park Ave
Suite 201
Memphis, TN 38119-3549
Phone (901) 683-9630
878 Hwy 411 N
Etowah, TN 37331-1912
Phone (423) 263-7070
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151103002141 | TN | Practitioner - Physical Therapist in Private Practice | 0345226726 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0000004777 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current |
Accepting new patients |
| Independent Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Physical Therapy of Tellico, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192
3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444
820 Scenic Hwy
Ste B
Lookout Mtn, TN 37350
Phone (423) 825-1393
4249 Highway 411
Ste 4
Madisonville, TN 37354
Phone (423) 436-0309
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0000004777 | TN | Yes |
Addresses
Primary practice location
4249 Highway 411
Ste 4
Madisonville, TN 37354-1544
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-8930
Other providers in Madisonville, TN
- Tucker Willi Cole
- Christina Ann Cooper
- William Blake Cosner
- Thomas R Cox III
- Neisha Angelica Crespo-Ramos
- Daniel Long
- James M Dash
- Carl Neal Daugherty
- Jamie Nicole Daugherty
- Brandi Jo Anna Davenport
All providers in Madisonville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.