Healthcare Provider Details

I. General information

NPI: 1093921082
Provider Name (Legal Business Name): AMANDA MCCARRELL P.T.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMANDA HEPPERMANN P.T.A.

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 POWELL PL STE 1441
NASHVILLE TN
37204-3622
US

IV. Provider business mailing address

928 WESTCHESTER CIR
HENDERSONVILLE TN
37075-1577
US

V. Phone/Fax

Practice location:
  • Phone: 866-719-9611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: