Provider Demographics
NPI:1053089763
Name:SILLYMAN, CHRISTIAN (PT)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:SILLYMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CHRISTIAN
Other - Middle Name:
Other - Last Name:BAHNIUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 306556
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6556
Mailing Address - Country:US
Mailing Address - Phone:615-329-2294
Mailing Address - Fax:615-695-1494
Practice Address - Street 1:134 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4685
Practice Address - Country:US
Practice Address - Phone:615-278-1632
Practice Address - Fax:615-263-0171
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13721225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist