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Wyatt Fennell

NPI 1083438006ActiveIndividual· Physical Therapist· Nolensville, TN

Physical Therapist with Results-Ast Jv LLC, practicing in Nolensville, Tennessee. Medicare paid $3,429 for services to 25 patients in 2024.

Overview

NPI1083438006
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedNov 15, 2024
Last updated in NPPESNov 15, 2024
Certified by providerNov 15, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X16167TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (TN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients25
Services billed168 across 8 procedure codes
Paid by Medicare$3,429

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

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