Individual provider Active NPI

Larry Hal Reed, P.T.

  • Physical Therapist
  • Morristown, TN
National Provider Identifier
1003413006
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5015 Issued in TN
Practice address
1751 W Morris Blvd Ste 1
Morristown, TN 37813-3870
Phone
(423) 839-0423
Fax
(423) 839-0423
NPI assigned
Oct 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5015 TN Primary

Addresses

Primary practice location

1751 W Morris Blvd Ste 1
Morristown, TN 37813-3870

Mailing address

4923 Owl Hole Gap Rd
Rutledge, TN 37861-4447
Phone (865) 604-9019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220323002912 TN Practitioner - Physical Therapist in Private Practice 1052705217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1751 W Morris Blvd
Suite 1
Morristown, TN 37813-3870
Phone (423) 839-0423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5015TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Larry Reed Physical Therapy, LLC Physical Therapist CurrentSince Jan 31, 2022 Accepting new patients
Reed Physical Therapy, Inc. Physical Therapist CurrentSince Aug 29, 2021 Accepting new patients

Locations

1751 W Morris Blvd
Ste 1
Morristown, TN 37813
Phone (423) 839-0423

2024 E Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 317-7772

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1003413006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 OWL HOLE GAP RD",
            "city": "RUTLEDGE",
            "state": "TN",
            "postal_code": "378614447",
            "telephone_number": "865-604-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 W MORRIS BLVD STE 1",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133870",
            "telephone_number": "423-839-0423",
            "fax_number": "423-839-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "LARRY",
        "middle_name": "HAL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-03",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.