Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ian Carroll, PT

Individual provider Physical Therapist · NPI 1205481124

Ian Carroll, PT is a Physical Therapist in Private Practice in Madison, Tennessee. Graduated from Nova Southeastern College of Osteo Medicine in 2019, 7 years ago. Practices with Body One Health and Fitness Center LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
TN
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1919 Gallatin Pike N Ste 102
Madison, TN 37115-2064
Phone: (615) 859-3852
Fax: (615) 859-6712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12502 (TN)

Record details

NPI number1205481124
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 7, 2019
Last updated in NPPESAugust 22, 2019
Mailing address1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2019 (7 years in practice)
Group practice Body One Health And Fitness Center Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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