Active NPI
Fiorello Erico Pacia Jr., PT
- Physical Therapist
- Jefferson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0000002442
- 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
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36548882 | Other | TN | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2442 | TN | MD | Professional Counselor |
| PT0000002442 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimus Health Center, Inc. | Physical Therapist | Current | Accepting new patients |
| Compwhiz International LLC | Physical Therapist | Current | Accepting new patients |
| Compwhiz International LLC Dba St. Luke'S Therapy Services | Physical Therapist | Current | Accepting new patients |
| Alanova & Associates, LLC | Past | 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.
-
- Physical Therapist
- Jefferson City, TN
- NPI 1902822588
-
- Physical Therapy Clinic/Center
- Morristown, TN
- NPI 1255332581
Physical Therapist
-
- Physical Therapist
- Tazewell, TN
- NPI 1568442317
-
- Rehabilitation Practitioner
- Sevierville, TN
- NPI 1578563367
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
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.