Individual provider Active NPI

Sandra Daniels, PHYSICAL THERAPIST

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1083712582
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3090 Issued in TN
Practice address
8663 Middlebrook Pike
Knoxville, TN 37923-1612
Phone
(865) 801-9380
Fax
(865) 381-0707
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3090 KY
Physical Therapist 225100000X 3090 TN Primary

Addresses

Primary practice location

8663 Middlebrook Pike
Knoxville, TN 37923-1612

Mailing address

8663 Middlebrook Pike
Knoxville, TN 37923-1612
Phone (865) 801-9380

Other practice location 1

150 N Martinwood
Suite 402
Knoxville, TN 37923-5124
Phone (865) 691-5020

Other identifiers 2

IdentifierTypeStateIssuer
3650983MedicaidTN
4015383OtherTNBLUE CROSS BS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3090TNMDProfessional Counselor
PT3090KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kramer Physical Therapy LLC CurrentSince Dec 15, 2017 Accepting new patients

Locations

8663 Middlebrook Pike
Knoxville, TN 37923
Phone (865) 801-9380

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083712582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8663 MIDDLEBROOK PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231612",
            "telephone_number": "865-801-9380",
            "fax_number": "865-381-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8663 MIDDLEBROOK PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231612",
            "telephone_number": "865-801-9380",
            "fax_number": "865-381-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N Martinwood",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379235124",
            "country_code": "US",
            "telephone_number": "865-691-5020",
            "fax_number": "865-691-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "SANDRA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT3090",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "3090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3650983",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS",
            "identifier": "4015383",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "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 17, 2018; 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.