Individual provider Active NPI

Anthony R. Walukonis, PT, DPT, MA, ATC

  • Physical Therapy Clinic/Center
  • Nashville, TN
National Provider Identifier
1932643665
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
15698 Issued in TN
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

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20241031003258 TN Practitioner - Physical Therapist in Private Practice 0446783211 Reassigns benefits to 2 organizations

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
Elite Sports Medicine and Orthopaedic Center PLCGroup PAC ID 8729009634, 90 clinicians
Concierge Physical Therapists LLCGroup PAC ID 7719140052, 20 clinicians

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

LicenseStateTypeSpecialty
1957TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Sports Medicine and Orthopaedic Center, PLC Physical Therapy CurrentSince Jun 1, 2024 Accepting new patients
Concierge Physical Therapists LLC Physical Therapy CurrentSince Dec 15, 2024 Accepting new patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince Jun 1, 2024 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.

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.

Verify at the official NPI Registry.