Active NPI
Atlantic Rehabilitation Center Knoxville LLC
- Physical Therapy Clinic/Center
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ATLANTIC REHABILITATION CENTER KNOXVILLE LLC
- Practice address
- 9309 Kingston Pike Ste C
Knoxville, TN 37922-2399 - Phone
- (954) 336-5639
- NPI assigned
- Aug 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Caroccio, DPT
- Title
- Owner
- Phone
- (954) 336-5639
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
9309 Kingston Pike Ste C
Knoxville, TN 37922-2399
Mailing address
16249 Biscayne Blvd
Aventura, FL 33160-4300
Phone (954) 336-5639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241230002537 | TN | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8224565411 |
Receives reassigned benefits from 1 practitioner Practice locations: Knoxville, TN |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
9309 Kingston Pike
Ste C
Knoxville, TN 37922
Phone (865) 601-7733
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730160000000",
"number": "1003647900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16249 BISCAYNE BLVD",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331604300",
"telephone_number": "954-336-5639",
"fax_number": "305-405-0415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9309 KINGSTON PIKE STE C",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379222399",
"telephone_number": "954-336-5639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC REHABILITATION CENTER KNOXVILLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-12",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "CAROCCIO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-336-5639",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.