Active NPI
Michelle Lynn Duncan, PHYSICAL THERAPIST
- Physical Therapist
- Munford, TN
National Provider Identifier
1972777357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7272
- Practice address
- 498 Laxton LN
Munford, TN 38058-7379 - Phone
- (901) 840-4326
- NPI assigned
- Apr 17, 2008
- Last updated
- Apr 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7272 | TN | Primary |
Addresses
Primary practice location
498 Laxton LN
Munford, TN 38058-7379
Mailing address
498 Laxton LN
Munford, TN 38058-7379
Phone (901) 840-4326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7272 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1972777357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 LAXTON LN",
"city": "MUNFORD",
"state": "TN",
"postal_code": "380587379",
"telephone_number": "901-840-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "498 LAXTON LN",
"city": "MUNFORD",
"state": "TN",
"postal_code": "380587379",
"telephone_number": "901-840-4326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Munford, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.