Individual provider Active NPI

Courtney Elizabeth Feike, PT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1104344167
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11517 Issued in TN
Practice address
1819 Clinch Ave Ste 106
Knoxville, TN 37916
Phone
(865) 524-5365
Fax
(865) 673-8007
NPI assigned
Aug 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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 11517 TN Primary

Addresses

Primary practice location

1819 Clinch Ave Ste 106
Knoxville, TN 37916

Mailing address

8904A Cross Park Dr
Knoxville, TN 37923-4703
Phone (865) 236-0340

Other practice location 1

576 Ft Loudoun Med Ctr Dr Ste 100A
Lenoir City, TN 37772-5676
Phone (865) 988-8796

Other practice location 2

988 Oak Ridge Tpke Ste 100A
Oak Ridge, TN 37830-6919
Phone (865) 425-4388

Other practice location 3

9430 Park West Blvd Ste 230
Knoxville, TN 37923-4204
Phone (865) 560-8550

Other practice location 4

961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832
Phone (865) 483-1906

Other practice location 5

576 Fort Loudoun Medical Center Dr Ste 100A
Lenoir City, TN 37772-5676
Phone (865) 988-8796

Other identifiers 1

IdentifierTypeStateIssuer
Q044008MedicaidTN

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
11517TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients
Tennessee Orthopaedic Clinics PC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1104344167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904A CROSS PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234703",
            "telephone_number": "865-236-0340",
            "fax_number": "865-236-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 CLINCH AVE STE 106",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37916",
            "telephone_number": "865-524-5365",
            "fax_number": "865-673-8007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 Ft Loudoun Med Ctr Dr Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725676",
            "country_code": "US",
            "telephone_number": "865-988-8796",
            "fax_number": "865-988-8798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "988 Oak Ridge Tpke Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306919",
            "country_code": "US",
            "telephone_number": "865-425-4388",
            "fax_number": "865-425-4677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9430 Park West Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234204",
            "country_code": "US",
            "telephone_number": "865-560-8550",
            "fax_number": "865-560-8551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "961 Oak Ridge Tpke",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378308832",
            "country_code": "US",
            "telephone_number": "865-483-1906",
            "fax_number": "865-483-3807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "576 Fort Loudoun Medical Center Dr Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725676",
            "country_code": "US",
            "telephone_number": "865-988-8796",
            "fax_number": "865-988-8798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEIKE",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q044008",
            "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 19, 2021; 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.