Full Spectrum Pediatric Therapy, Inc.
NPI 1255472403 · Physical Therapist · Clarksville, TN
Enrolled with Medicare as Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Full Spectrum Pediatric Therapy, Inc. is a Physical Therapist organization in Clarksville, TN (NPI 1255472403).
Provider details
- NPI number
- 1255472403
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Lana Broome, Owner/President(931) 906-0440
- License
- OT 2156 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Full Spectrum Rehab Center
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2022-04-20
- Certified
- 2022-04-20
Frequently asked questions
- What is Full Spectrum Pediatric Therapy, Inc.'s NPI number?
- Full Spectrum Pediatric Therapy, Inc.'s National Provider Identifier (NPI) is 1255472403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Full Spectrum Pediatric Therapy, Inc.?
- Full Spectrum Pediatric Therapy, Inc. is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Full Spectrum Pediatric Therapy, Inc. located?
- Full Spectrum Pediatric Therapy, Inc.'s practice location on file with NPPES is 298 Warfield Blvd, Suite C, Clarksville, TN 37043-1896.
- What is Full Spectrum Pediatric Therapy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Full Spectrum Pediatric Therapy, Inc. is (931) 906-0440.
- Does Full Spectrum Pediatric Therapy, Inc. accept Medicare?
- Full Spectrum Pediatric Therapy, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Full Spectrum Pediatric Therapy, Inc.?
- The authorized official listed on Full Spectrum Pediatric Therapy, Inc.'s NPPES record is Lana Broome, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Full Spectrum Pediatric Therapy, Inc.'s NPI active?
- Yes — Full Spectrum Pediatric Therapy, Inc.'s NPI (1255472403) is active in the NPPES registry as of the last update on 2022-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.