Active NPI
Caitlin Runk
- Physical Therapy Assistant
- Knoxville, TN
National Provider Identifier
1053949792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TEI005163
- Practice address
- 10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347 - Phone
- (888) 531-2204
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TEI005163 | PA | Primary |
Addresses
Primary practice location
10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347
Mailing address
306 Henrietta Mountain Rd
Saxton, PA 16678-8160
Phone (814) 515-7088
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://fprehab.com/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEI005163 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1053949792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 HENRIETTA MOUNTAIN RD",
"city": "SAXTON",
"state": "PA",
"postal_code": "166788160",
"telephone_number": "814-515-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10133 SHERRILL BLVD STE 200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379323347",
"telephone_number": "888-531-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNK",
"first_name": "CAITLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TEI005163",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://fprehab.com/",
"affiliation": "N",
"address_1": "10133 Sherrill Blvd Ste 200",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "379323347",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.