TESSA D. MARIE PUCKETT P.T.
NPI 1154693141
Physical Therapist in Eminence, KY

Active since February 06, 2012
151 E BROADWAY ST STE B, EMINENCE, KY 40019(502) 845-0005(502) 845-0006 Get Directions Write a Review

NPPES record last updated: July 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tessa D. Marie Puckett P.t. NPPES

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

TESSA D. MARIE PUCKETT P.T. (NPI 1154693141) is an individual physical therapist in Eminence, Kentucky, licensed in Kentucky (006000) and active in the NPI registry since February 2012. She maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1154693141
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameTESSA D. MARIE PUCKETTCredential: P.T.
Location Address151 E BROADWAY ST STE BEminence, KY 40019
Mailing Address151 E Broadway St Ste BEminence, KY 40019-1149 · (502) 845-0005 · Fax (502) 548-0006
Fax(502) 845-0006
Sole ProprietorNo
Enumeration DateFebruary 6, 2012
Last NPPES UpdateJuly 27, 2019
✔ NPI 1154693141 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
License✔ Licensed in KY · 006000
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.
151 E BROADWAY ST STE B, Eminence, KY 40019

Secondary Practice Location 1

Location 14233 Bardstown Rd Ste 100CLouisville, KY 40218-3263 · Phone (502) 493-3800

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tessa D. Marie Puckett P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tessa Puckett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
4233 BARDSTOWN RD, 100C
Louisville, KY 40218
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 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.

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 Tessa Puckett's NPI number?

The NPI number for Tessa Puckett is 1154693141. It was assigned to this individual provider in the NPPES registry on February 6, 2012.

Where is Tessa Puckett located?

Tessa Puckett practices at 151 E Broadway St Ste B, Eminence, KY 40019. The listed phone number is (502) 845-0005.

What is Tessa Puckett's specialty?

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

Is Tessa Puckett enrolled in Medicare?

Yes. Tessa Puckett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tessa Puckett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tessa Puckett reassigns Medicare benefits to Physical Therapy Group, Inc (Louisville, KY). The 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 Tessa Puckett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tessa Puckett accept?

Health plans from Anthem Blue Cross and Blue Shield list Tessa Puckett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tessa Puckett was last updated on July 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.