Provider Demographics
NPI:1265417901
Name:TENNESSEE THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:TENNESSEE THERAPY SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:931-424-5588
Mailing Address - Street 1:203 VILLAGE SQ
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:TN
Mailing Address - Zip Code:38478-2929
Mailing Address - Country:US
Mailing Address - Phone:931-424-5588
Mailing Address - Fax:931-424-5590
Practice Address - Street 1:203 VILLAGE SQ
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-2929
Practice Address - Country:US
Practice Address - Phone:931-424-5588
Practice Address - Fax:931-424-5590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000002474261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4033548OtherBCBS OF TN
TN3652541Medicaid
TN3652541Medicaid