Fish Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FISH PHYSICAL THERAPY, LLC

Practice address

311 W Lambert LN
Maryville, TN 37803-6110

Phone

(336) 469-0747

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Melia Womac, PTNPI 1518745900

Title

Physical Therapist, Owner

Phone

(336) 469-0747

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melia Womac, PT

  • Geriatric Physical Therapist
  • Maryville, TN
  • NPI 1518745900

  Geriatrics

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1043098437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W LAMBERT LN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036110",
            "telephone_number": "336-469-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W LAMBERT LN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036110",
            "telephone_number": "336-469-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISH PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "WOMAC",
        "authorized_official_first_name": "MELIA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "336-469-0747",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry A Ferguson, PHARM.D
• Guy David Ferguson, PA-C
• Bethany Charlene Fields
• Carolyn Rose Filla, DC
• First Choice Home Medical Supply, LLC
• Michaela Fish, PHARMD
• Callie Michele Fishel I, RDH, OM
• Kathryn Flagler, PH.D.
• Eden Flanders
• Katasha Rae Flatt

• Physical Therapy Clinic/Center in Maryville, TN
• Providers in Maryville, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.