Physician Compare National (NPI:1922401439)

HEALTHCARE PROVIDER: COURTNEY MEDLEN DPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1922401439
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931425576
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160614002101
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MEDLEN
	Individual professional last name
Provider First Name	COURTNEY
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BONE AND JOINT INSTITUTE OF TENNESSEE INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9234491259
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	38
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3000 EDWARD CURD LN
	Group Practice or individual's line 1 address
City	FRANKLIN
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	370675791
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y