OrganizationActive
Proactive MD, LLC
NPI 1326346412 · Pulmonary Diagnostics Registered Respiratory Therapist · Dyersburg, TN
Provider details
- NPI number
- 1326346412
- Entity type
- Organization
- Primary specialty
- Pulmonary Diagnostics Registered Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Phillip Tidwell, Registered Respiratory Therapist(731) 589-6156
- License
- RRT0000000395 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2148 Aztec Dr
Dyersburg, TN 38024-1841
Phone: (731) 589-6156
Fax: (615) 467-8971
Street-level locationGet directions
Mailing address
2148 Aztec Dr
Dyersburg, TN 38024-1841
Registry dates
- Enumerated
- 2011-03-14
- Last updated
- 2013-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.