Provider Demographics
NPI:1104329309
Name:DPT ASSOCIATES, LLC
Entity type:Organization
Organization Name:DPT ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:615-987-3162
Mailing Address - Street 1:7385 HARLOW DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE GROVE
Mailing Address - State:TN
Mailing Address - Zip Code:37046-1460
Mailing Address - Country:US
Mailing Address - Phone:812-583-3428
Mailing Address - Fax:615-472-7925
Practice Address - Street 1:119 SEABOARD LN STE 401A
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8307
Practice Address - Country:US
Practice Address - Phone:615-987-3162
Practice Address - Fax:615-472-7925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-14
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9306261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy