Stephen Lyle Archer, PTA
Individual provider Active NPI Physical Therapy Assistant · Greeneville, TN
NPI 1013203629 · NPPES record last updated Jun 22, 2011
Key facts
- NPI
- 1013203629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 0000004501 (TN)
- Practice address
- 4850 East Andrew Johnson Highway
Greeneville, TN 37745-3098 - Phone
- (423) 787-6800
- NPI assigned
- Jun 22, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000004501 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0000004501 | TN | Yes |
Addresses
Primary practice location
4850 East Andrew Johnson Highway
Greeneville, TN 37745-3098
Mailing address
4850 E Andrew Johnson Hwy
Greeneville, TN 37745-3098
Phone (423) 787-6800
Other providers in Greeneville, TN
- Appalachian Chiropractic Center PC
- Apple Rehab Agency Services Inc
- Applegate Health Services of Tennessee, Inc.
- John Applegate
- Jessica Lynn Archer
- Andrew Kristopher Armbrister
- Melissa H Armbrister
- Amy Jones Armstrong
- Lillie Faye Arrington
- Laura Asbury Patrick
All providers in Greeneville, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.