Healthcare Provider Details

I. General information

NPI: 1578953899
Provider Name (Legal Business Name): JOSEPH LEE ROBINSON PT, DPT, AT, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2015
Last Update Date: 09/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 21ST AVE S STE 3200 MEDICAL CENTER EAST, SOUTH TOWER
NASHVILLE TN
37232-0014
US

IV. Provider business mailing address

222 TRAILS CIR
NASHVILLE TN
37214-2644
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-7846
  • Fax:
Mailing address:
  • Phone: 269-744-4017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number2601001116
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number10988
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number2128
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number05012219A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: