Individual provider Active NPI

Fiorello Erico Pacia Jr., PT

  • Physical Therapist
  • Jefferson City, TN
National Provider Identifier
1083615843
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000002442 Issued in TN
Practice address
102 E Commerce CT
Jefferson City, TN 37760-3200
Phone
(865) 475-3101
Fax
(865) 475-9012
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0000002442 TN Primary

Addresses

Primary practice location

102 E Commerce CT
Jefferson City, TN 37760-3200

Mailing address

102 E Commerce CT
Jefferson City, TN 37760-3200
Phone (865) 475-3101

Other identifiers 1

IdentifierTypeStateIssuer
36548882OtherTNMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714001085 TN Practitioner - Physical Therapist in Private Practice 1456261619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimus Health Center, Inc.Group PAC ID 9638173503, 4 clinicians

Practice addresses (Care Compare)

102 E Commerce Court
Jefferson City, TN 37760-3200

102 E Commerce CT
Jefferson City, TN 37760-3200
Phone (865) 475-3101

118 E Meeting St a
Dandridge, TN 37725-4825
Phone (865) 475-3101

420 W Morris Blvd
Suite 400F
Morristown, TN 37813-2282
Phone (865) 475-3101

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2442TNMDProfessional Counselor
PT0000002442TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Health Center, Inc. Physical Therapist CurrentSince Aug 1, 2006 Accepting new patients
Compwhiz International LLC Physical Therapist CurrentSince Apr 1, 2002 Accepting new patients
Compwhiz International LLC Dba St. Luke'S Therapy Services Physical Therapist Current Accepting new patients
Alanova & Associates, LLC PastSince Mar 17, 2005 Accepting new patients
Oak Street Health Physicians Group, PC Past Accepting new patients

Locations

118 E Meeting St
Ste A
Dandridge, TN 37725
Phone (865) 475-3101

102 E Commerce Ct
Jefferson Cty, TN 37760
Phone (865) 475-3101

901 E Morris Blvd
Morristown, TN 37813
Phone (423) 586-6866

420 W Morris Blvd
Ste 400F
Morristown, TN 37813
Phone (423) 586-4545

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1083615843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E COMMERCE CT",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377603200",
            "telephone_number": "865-475-3101",
            "fax_number": "865-475-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E COMMERCE CT",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377603200",
            "telephone_number": "865-475-3101",
            "fax_number": "865-475-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIA",
        "first_name": "FIORELLO ERICO",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000002442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "36548882",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.