Pro Therapy Services of East Tennessee
Organization Active NPI Physical Therapy Clinic/Center · Newport, TN
NPI 1124170113 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124170113
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 5088 (TN)
- 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
- Organization subpart
- No
Authorized official
- Name
- Travis Loveday, PT
- Title
- Director, Coowner
- Phone
- (865) 908-3205
Other NPIs on the same Medicare enrollment 5
Practitioners 2
-
Jason Lee Ramey, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 5088 | TN | Yes |
Addresses
Primary practice location
407 4TH St
Newport, TN 37821-3755
Mailing address
1103 Village Dr
Sevierville, TN 37862
Phone (865) 908-7041
Other providers in Newport, TN
- Kaitlin Phillips
- Ruth Ann Poteete
- Haley Powell
- Premier Therapy Associates, LLC
- Norma Dennis Prizer
- Professional Hearing AIDS, LLC
- Samuel Mack Puckett
- Pulmacare Inc
- Hannah Raber
- Melissa Ann Reece
All providers in Newport, TN · Physical Therapy Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.