Active NPI
Pro Therapy Services of East Tennessee
- Physical Therapy Clinic/Center
- Newport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 5088
- Legal business name
- PRO THERAPY SERVICES OF EAST TENNESSEE
- Practice address
- 407 4TH St
Newport, TN 37821-3755 - Phone
- (423) 625-8446
- Fax
- (423) 623-1899
- NPI assigned
- Jan 18, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Travis Loveday, PT
- Title
- Director, Coowner
- Phone
- (865) 908-3205
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 5088 | TN | Primary |
Addresses
Primary practice location
407 4TH St
Newport, TN 37821-3755
Mailing address
1103 Village Dr
Sevierville, TN 37862
Phone (865) 908-7041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040702001224 | TN | Part B Supplier - Clinic/Group Practice | 2567449804 |
Receives reassigned benefits from 16 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dandridge, TN; Gatlinburg, TN; Pigeon Forge, TN; Sevierville, TN; Seymour, TN |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapy Clinic/Center
- Sevierville, TN
- NPI 1326190885
O20040702001224
-
- Physical Therapy Clinic/Center
- Seymour, TN
- NPI 1336291541
O20040702001224
-
- Physical Therapy Clinic/Center
- Gatlinburg, TN
- NPI 1376695817
O20040702001224
-
- Physical Therapy Clinic/Center
- Pigeon Forge, TN
- NPI 1609928118
O20040702001224
-
- Physical Therapist
- Sevierville, TN
- NPI 1790868255
O20040702001224
National Provider Directory
National Provider DirectoryLocations
2190 Winfield Dunn Pkwy
Sevierville, TN 37876
Phone (865) 280-2799
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Therapist
- Pigeon Forge, TN
- NPI 1700947850
-
- Physical Therapist
- Gatlinburg, TN
- NPI 1154482206
-
- Physical Therapist
- Sevierville, TN
- NPI 1982085932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124170113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 VILLAGE DR",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "37862",
"telephone_number": "865-908-7041",
"fax_number": "865-908-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 4TH ST",
"city": "NEWPORT",
"state": "TN",
"postal_code": "378213755",
"telephone_number": "423-625-8446",
"fax_number": "423-623-1899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO THERAPY SERVICES OF EAST TENNESSEE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LOVEDAY",
"authorized_official_first_name": "TRAVIS",
"authorized_official_title_or_position": "DIRECTOR, COOWNER",
"authorized_official_telephone_number": "865-908-3205",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TN",
"license": "5088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.