FAST PACE MEDICAL CLINIC PLLC
NPI 1073014643
Physical Therapist in Smithville, TN

Active since February 28, 2018CLIA 44D2080352 · Waiver
101 W BROAD ST, SMITHVILLE, TN 37166(855) 632-3278(931) 722-9919 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2021, Feb 28, 2018 (2 updates tracked since 2018).

About Fast Pace Medical Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAST PACE MEDICAL CLINIC PLLC (NPI 1073014643) is a healthcare organization registered as a physical therapist in Smithville, Tennessee and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through July 2, 2028 and lists Robert Benson, Coo, as its authorized official.

NPPES Registry Identity

NPI1073014643
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameFAST PACE MEDICAL CLINIC PLLC
Location Address101 W BROAD STSmithville, TN 37166-1915
Mailing AddressPo Box 1258Waynesboro, TN 38485-1258 · (931) 253-1110 · Fax (931) 722-9919
Fax(931) 722-9919
Organization SubpartNo
Authorized OfficialRobert BensonCoo · (931) 253-1110
Enumeration DateFebruary 28, 2018
Last NPPES UpdateApril 22, 20212 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
NPI 1073014643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
101 W BROAD ST, Smithville, TN 37166

Other Identifiers 1

Medicaid1515574TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2080352

Fast Pace Medical Clinic, PLLC · Smithville, TN
Active · expires Jul 2, 2028
CLIA Number44D2080352
Laboratory TypeUrgent Care Clinic
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorSelena Gurley
Laboratory Phone(855) 632-3278
Laboratory LocationFast Pace Medical Clinic, PLLC101 West Broad St, Smithville, TN 37166
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
101 W BROAD ST
SMITHVILLE, TN 37166
Clinic/Center (Urgent Care)
101 W BROAD ST
SMITHVILLE, TN 37166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fast Pace Medical Clinic PLLC's NPI number?

The NPI number for Fast Pace Medical Clinic PLLC is 1073014643. It was assigned to this organization in the NPPES registry on February 28, 2018.

Where is Fast Pace Medical Clinic PLLC located?

Fast Pace Medical Clinic PLLC is located at 101 W Broad St, Smithville, TN 37166. The listed phone number is (855) 632-3278.

What is Fast Pace Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Does Fast Pace Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2080352) is associated with this NPI, valid through July 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fast Pace Medical Clinic PLLC was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.