Southern Rehab & Aquatics
NPI 1760502520 · Physical Therapist · Kimball, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Rehab & Aquatics is a Physical Therapist organization in Kimball, TN (NPI 1760502520).
Provider details
- NPI number
- 1760502520
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Trace Kennemore, PT(423) 837-7536
- License
- PT0000006009 (TN)
Specialties & taxonomies
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
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2008-04-28
Frequently asked questions
- What is Southern Rehab & Aquatics's NPI number?
- Southern Rehab & Aquatics's National Provider Identifier (NPI) is 1760502520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Rehab & Aquatics?
- Southern Rehab & Aquatics is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Southern Rehab & Aquatics located?
- Southern Rehab & Aquatics's practice location on file with NPPES is 400 Dixie Lee Center Rd, Kimball, TN 37347-5672.
- What is Southern Rehab & Aquatics's phone number?
- The practice phone number listed in the NPPES registry for Southern Rehab & Aquatics is (423) 837-7536.
- Does Southern Rehab & Aquatics accept Medicare?
- Southern Rehab & Aquatics 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 Southern Rehab & Aquatics?
- The authorized official listed on Southern Rehab & Aquatics's NPPES record is Trace Kennemore, PT. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Rehab & Aquatics's NPI active?
- Yes — Southern Rehab & Aquatics's NPI (1760502520) is active in the NPPES registry as of the last update on 2008-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.