Organization Active NPI

Teresa B Johnston

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1104874692
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TERESA B JOHNSTON
Practice address
4011 Chapman Hwy
Suite J
Knoxville, TN 37920-4267
Phone
(865) 573-6458
Fax
(865) 577-8147
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Rodrigo Johnston
Title
Administrator
Phone
(865) 776-3247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4011 Chapman Hwy
Suite J
Knoxville, TN 37920-4267

Mailing address

450 Jefferson LN
Clinton, TN 37716-5741
Phone (865) 776-3247

Other identifiers 3

IdentifierTypeStateIssuer
5532081OtherTNAETNA PPO PROVIDER ID
3654750MedicaidTN
960130OtherTNAETNA PROVIDER ID HMO

Other names 1

  • Foothills Physical Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

4011 Chapman Hwy
Ste J
Knoxville, TN 37920
Phone (615) 573-6458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1104874692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 JEFFERSON LN",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377165741",
            "telephone_number": "865-776-3247",
            "fax_number": "865-577-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 CHAPMAN HWY",
            "address_2": "SUITE J",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204267",
            "telephone_number": "865-573-6458",
            "fax_number": "865-577-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA B JOHNSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "865-776-3247"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO PROVIDER ID",
            "identifier": "5532081",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3654750",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID HMO",
            "identifier": "960130",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foothills Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 23, 2022; 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.