Active NPI
Anthony R. Walukonis, PT, DPT, MA, ATC
- Physical Therapy Clinic/Center
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 15698
- Practice address
- 2004 Hayes St Ste 200
Nashville, TN 37203-2689 - Phone
- (615) 324-1600
- NPI assigned
- Dec 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1957 | TN | |
| Physical Therapy Clinic/Center | 261QP2000X | 15698 | TN | Primary |
Addresses
Primary practice location
2004 Hayes St Ste 200
Nashville, TN 37203-2689
Mailing address
3733 Granny White Pike
Nashville, TN 37204-2908
Phone (231) 286-4210
Other practice location 1
1160 N Peachtree
Cookeville, TN 38505-0001
Phone (931) 372-3934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Health Park Dr
Suite 220
Brentwood, TN 37027-5721
Phone (615) 324-1600
815 Belle Meade Blvd
Nashville, TN 37205-4523
Phone (703) 302-0951
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1957 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Sports Medicine and Orthopaedic Center, PLC | Physical Therapy | Current | Accepting new patients |
| Concierge Physical Therapists LLC | Physical Therapy | Current | Accepting new patients |
| Elite Sports Medicine and Orthopaedic Center, PLC | Current | Accepting new patients |
Locations
1030 15th St NW
#B1
Washington, DC 20005
815 Belle Meade Blvd
Nashville, TN 37205
2004 Hayes St
Ste 200
Nashville, TN 37203
Phone (615) 284-2000
1 Club Dr
Nashville, TN 37215
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 and National Provider Directory roles.
-
- Specialist
- Nashville, TN
- NPI 1528281623
Physical Therapy
-
- Orthopaedic Surgery Physician
- Brentwood, TN
- NPI 1669115622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1932643665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3733 GRANNY WHITE PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372042908",
"telephone_number": "231-286-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 HAYES ST STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032689",
"telephone_number": "615-324-1600"
}
],
"practiceLocations": [
{
"address_1": "1160 N Peachtree",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385050001",
"country_code": "US",
"telephone_number": "931-372-3934",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALUKONIS",
"first_name": "ANTHONY",
"middle_name": "R.",
"credential": "PT, DPT, MA, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-14",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "1957",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TN",
"license": "15698",
"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 18, 2024; 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.