Individual provider Active NPI

Emily Jeannette Skelly Vance, DPT

  • Physical Therapist
  • Hendersonville, TN
National Provider Identifier
1962773713
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9176 Issued in TN
Practice address
230 New Shackle Island Rd Ste 120
Hendersonville, TN 37075-2484
Phone
(615) 989-0660
Fax
(615) 989-0661
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 9176 TN
Physical Therapist 225100000X 9176 TN Primary

Addresses

Primary practice location

230 New Shackle Island Rd Ste 120
Hendersonville, TN 37075-2484

Mailing address

2007 E Stirling CT
Hendersonville, TN 37075-9415
Phone (615) 289-8448

Other practice location 1

840 N Bluejay Way Ste 107
Gallatin, TN 37066-4559
Phone (615) 989-0420

Other names 1

  • Emily Jeannette Skelly Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120206000789 TN Practitioner - Physical Therapist in Private Practice 0446417216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
East Tennessee State University Quillen College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspired PT LLCGroup PAC ID 6305214297, 17 clinicians

Practice addresses (Care Compare)

230 New Shackle Island Rd
Suite 120
Hendersonville, TN 37075-2483
Phone (615) 989-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9176TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

262 New Shackle Island Rd
Ste 210
Hendersonville, TN 37075
Phone (615) 507-1552

1420 W Baddour Pkwy
Ste 120
Lebanon, TN 37087
Phone (615) 443-9036

1272 Garrison Dr
Ste 303
Murfreesboro, TN 37129
Phone (615) 849-9358

2910 S Church St
Ste G
Murfreesboro, TN 37127
Phone (615) 656-0610

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1962773713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 E STIRLING CT",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370759415",
            "telephone_number": "615-289-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NEW SHACKLE ISLAND RD STE 120",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752484",
            "telephone_number": "615-989-0660",
            "fax_number": "615-989-0661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 N Bluejay Way Ste 107",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370664559",
            "country_code": "US",
            "telephone_number": "615-989-0420",
            "fax_number": "615-989-0421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCE",
        "first_name": "EMILY",
        "middle_name": "JEANNETTE SKELLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "9176",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SKELLY",
            "middle_name": "JEANNETTE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.