Knoxville Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0000000870 Issued in TN

Legal business name

KNOXVILLE PHYSICAL THERAPY, INC.

Practice address

709 S Concord St
Knoxville, TN 37919-3309

Phone

(865) 637-2321

NPI assigned

Aug 5, 2007

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda K Gouge, P.T.NPI 1760548051

Title

Owner/President

Phone

(865) 637-2321

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Kay Gouge, P.T.

  • Physical Therapist
  • Knoxville, TN
  • NPI 1760548051
  Authorized official Same address or phone

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1093906190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S CONCORD ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193309",
            "telephone_number": "865-637-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S CONCORD ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193309",
            "telephone_number": "865-637-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "GOUGE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "865-637-2321",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "0000000870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3715534",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.