DR. LACY ELIZABETH SANSBURN PT
NPI 1154093821
Physical Therapist - Orthopedic in Spring Hill, TN
About Dr. Lacy Elizabeth Sansburn Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LACY ELIZABETH SANSBURN PT (NPI 1154093821) is an individual orthopedic provider in Spring Hill, Tennessee, licensed in Tennessee (13908) and active in the NPI registry since October 2021. She maintains a secondary practice location in Clarksville and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Lacy Elizabeth Sansburn Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lacy Sansburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spring Hill, TN 37174
- Reassigned Medicare billing, Tennessee enrollment
- 118 clinicians in this Medicare group
Franklin, TN 37067
- Reassigned Medicare billing, Tennessee enrollment
- 365 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lacy Sansburn's NPI number?
The NPI number for Lacy Sansburn is 1154093821. It was assigned to this individual provider in the NPPES registry on October 1, 2021.
Where is Lacy Sansburn located?
Lacy Sansburn practices at 3056 Miles Johnson Pkwy, Spring Hill, TN 37174. The listed phone number is (877) 407-3422.
What is Lacy Sansburn's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Lacy Sansburn enrolled in Medicare?
Yes. Lacy Sansburn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lacy Sansburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lacy Sansburn reassigns Medicare benefits to 2 organizations: Fox Rehabilitation Services Tn LLC (Spring Hill, TN) and Tennessee Orthopaedic Alliance PA (Franklin, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lacy Sansburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lacy Sansburn was last updated on April 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Dr. Lacy Elizabeth Sansburn, PT · NPI 1154093821
Orthopedic provider in Spring Hill, Tennessee. Individual provider, active in the CMS NPPES registry since October 1, 2021.
## Identity
- **NPI:** 1154093821 (Entity type: Individual)
- **Enumerated:** October 1, 2021
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 13908 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 3056 MILES JOHNSON PKWY, Spring Hill, TN 37174-4564
- **Phone:** (877) 407-3422 · **Fax:** (877) 407-4329
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fox Rehabilitation Services Tn LLC (NPI 1710406491, Spring Hill, TN); Tennessee Orthopaedic Alliance PA (NPI 1174655252, Franklin, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 26, 2025
- **Other identifiers:** Medicaid Q070228 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1154093821) · Data from the CMS NPPES public registry.