Rebecca Katherine Connor, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4313 Issued in TN

Practice address

122 Cavette Hill LN
Knoxville, TN 37934-6674

Phone

(865) 777-9000

NPI assigned

Apr 3, 2019

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2019.

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1023570546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 KETTERING RD",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012341",
            "telephone_number": "865-448-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CAVETTE HILL LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379346674",
            "telephone_number": "865-777-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "REBECCA",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "4313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Wayne Connell, O.D.
• Hannah Conner, CRNA
• Kimberly Conner
• Megan Hope Conner
• Niki Connor
• Justice Renee Conover, DPT
• Jennifer Lyn Conrad-Rendon, NP-C
• Andrew Baither Conrad, M.D.
• Brenda K Conrad, MS ED.
• Matthew Mark Conrad, CRNA

• All providers in Knoxville, TN
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.