Provider Demographics
NPI:1578684940
Name:INTELLIGENT THERAPY STAFFING
Entity Type:Organization
Organization Name:INTELLIGENT THERAPY STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPANY CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:615-386-4900
Mailing Address - Street 1:1606 EASTLAND AVE.
Mailing Address - Street 2:UNIT 1
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-2538
Mailing Address - Country:US
Mailing Address - Phone:615-337-8516
Mailing Address - Fax:
Practice Address - Street 1:3305 W END AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1035
Practice Address - Country:US
Practice Address - Phone:615-386-4900
Practice Address - Fax:615-386-4999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTEMPORARY LICENSE235Z00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility