East Tennessee Spine & Sport Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EAST TENNESSEE SPINE & SPORT INC

Practice address

150 N Martinwood Rd
Suite 402
Knoxville, TN 37923-5124

Phone

(865) 691-5020

Fax

(865) 691-5009

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory John Defilippo, PHYSICAL THERAPISTNPI 1841393477

Title

President Owner

Phone

(865) 689-8299

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory J Defilippo, PHYSICAL THERAPIST

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841393477
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Kinsey Anderson, PT, DPT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1336970136
  Medicare reassignment Care Compare group NPD
• Zane Banschbach, DPT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1912579699
  Medicare reassignment Care Compare group NPD
• Kayla Dougherty Beets, PT, DPT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1831670447
  Medicare reassignment Care Compare group NPD
• Patrick Grayson Blake, DPT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1518685353
  Medicare reassignment Care Compare group NPD
• Cole Dylan Buckner, DPT

  • Physical Therapist
  • Alcoa, TN
  • NPI 1568115004
  Medicare reassignment Care Compare group NPD
• Amanda Carden-McKinley

  • Physical Therapist
  • Knoxville, TN
  • NPI 1477053882
  Medicare reassignment Care Compare group NPD
• Renee Michelle Combs, OT

  • Occupational Therapist
  • Knoxville, TN
  • NPI 1467942680
  Medicare reassignment Care Compare group NPD
• Caroline Victoria Cox, PT, DPT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1720802374
  Medicare reassignment Care Compare group NPD
• Maritza Cuevas, PT DPT LSVT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1285347690
  Medicare reassignment Care Compare group NPD
• Cameron Flanary

  • Physical Therapist
  • Knoxville, TN
  • NPI 1205715265
  Medicare reassignment Care Compare group NPD
• Kristi Michelle Granger McLaughlin, DPT

  • Physical Therapist
  • Oak Ridge, TN
  • NPI 1710539796
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023101144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 N BROADWAY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182315",
            "telephone_number": "865-689-8299",
            "fax_number": "865-689-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MARTINWOOD RD",
            "address_2": "SUITE 402",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235124",
            "telephone_number": "865-691-5020",
            "fax_number": "865-691-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE SPINE & SPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEFILIPPO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "865-689-8299",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3650983",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Tennessee Psychological Testing
• East Tennessee Pulmonary and Critical Care Physicians
• East Tennessee Radiation Oncology, P.C.
• East Tennessee Radiation Therapy (Provision Radiation Therapy)
• East Tennessee Regional OB/GYN Associates PC
• East Tennessee Surgical Group, P.C.
• East Tennessee Urgent Care
• East Tennessee Urgent Care and Occupational Health (East Towne Urgent Care and Occupational Health)
• East Tennessee Vein Clinic, PC
• East Tennessee Women's Care, PC (Southest Gynecologic Oncology Associates)

• Physical Therapist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.