Premier Physical Therapy of Se Tn
NPI 1629703210 · Physical Therapist · Benton, TN
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Physical Therapy of Se Tn is a Physical Therapist organization in Benton, TN (NPI 1629703210).
Provider details
- NPI number
- 1629703210
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Melissa Clary, Office Manager/Billing Specialist(423) 464-4884
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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)
- Doing business as
- Polk Physical Therapy
Registry dates
- Enumerated
- 2022-07-19
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Frequently asked questions
- What is Premier Physical Therapy of Se Tn's NPI number?
- Premier Physical Therapy of Se Tn's National Provider Identifier (NPI) is 1629703210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Physical Therapy of Se Tn?
- Premier Physical Therapy of Se Tn is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Premier Physical Therapy of Se Tn located?
- Premier Physical Therapy of Se Tn's practice location on file with NPPES is 108 Lifestyle Way Ste 3, Benton, TN 37307-3914.
- What is Premier Physical Therapy of Se Tn's phone number?
- The practice phone number listed in the NPPES registry for Premier Physical Therapy of Se Tn is (423) 464-4884.
- Does Premier Physical Therapy of Se Tn accept Medicare?
- Premier Physical Therapy of Se Tn 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 Premier Physical Therapy of Se Tn?
- The authorized official listed on Premier Physical Therapy of Se Tn's NPPES record is Melissa Clary, Office Manager/Billing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Physical Therapy of Se Tn's NPI active?
- Yes — Premier Physical Therapy of Se Tn's NPI (1629703210) is active in the NPPES registry as of the last update on 2025-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.