Individual provider Active NPI

Matthew Ragan

  • Physical Therapist
  • Nashville, TN
National Provider Identifier
1922569375
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12349 Issued in TN
Practice address
6130 Nolensville Pike
Nashville, TN 37211-6813
Phone
(615) 445-4120
Fax
(615) 445-4129
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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 12349 TN Primary

Addresses

Primary practice location

6130 Nolensville Pike
Nashville, TN 37211-6813

Mailing address

2004 Hayes St
Ste 200
Nashville, TN 37203-2689
Phone (615) 324-1600

Other practice location 1

2001 Mallory Ln Ste 201
Franklin, TN 37067-8235
Phone (615) 771-0134

Other practice location 2

1195 Old Hickory Blvd Ste 100
Brentwood, TN 37027
Phone (615) 377-8773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191002003310 TN Practitioner - Physical Therapist in Private Practice 9537499686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Sports Medicine and Orthopaedic Center PLCGroup PAC ID 8729009634, 90 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 200
Nashville, TN 37203-2689
Phone (615) 324-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12349TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince May 6, 2022 Accepting new patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince May 6, 2022 Accepting new patients

Locations

2004 Hayes St
Ste 200
Nashville, TN 37203
Phone (615) 284-2000

Organizations & group practices 2

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1922569375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST",
            "address_2": "STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032689",
            "telephone_number": "615-324-1600",
            "fax_number": "615-324-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 NOLENSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372116813",
            "telephone_number": "615-445-4120",
            "fax_number": "615-445-4129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Mallory Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370678235",
            "country_code": "US",
            "telephone_number": "615-771-0134",
            "fax_number": "615-771-8816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1195 Old Hickory Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "37027",
            "country_code": "US",
            "telephone_number": "615-377-8773",
            "fax_number": "615-377-8775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGAN",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.