Active NPI
Neurosolutions, LLC
- Clinical Electrophysiology Physical Therapist
- Knoxville, TN
National Provider Identifier
1124364245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Electrophysiology Physical Therapist
- License
- 4175
- Legal business name
- NEUROSOLUTIONS, LLC
- Practice address
- 4701 Simona Rd
Knoxville, TN 37918-4535 - Phone
- (865) 776-3757
- NPI assigned
- Dec 18, 2012
- 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
- Dr. Roelof Van Der Meulen, DPT, ECS
- Title
- Member/Owner
- Phone
- (865) 776-3757
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 4175 | TN | Primary |
Addresses
Primary practice location
4701 Simona Rd
Knoxville, TN 37918-4535
Mailing address
4701 Simona Rd
Knoxville, TN 37918-4535
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3654099 | Other | MEDICARE (PTAN) | |
| 3654099 | Medicaid | TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Electrophysiology Physical Therapist
- Knoxville, TN
- NPI 1083830996
Electrophysiology, Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356566400000",
"number": "1124364245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 SIMONA RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379184535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 SIMONA RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379184535",
"telephone_number": "865-776-3757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROSOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-18",
"last_updated": "2012-12-27",
"status": "A",
"authorized_official_last_name": "VAN DER MEULEN",
"authorized_official_first_name": "ROELOF",
"authorized_official_title_or_position": "MEMBER/OWNER",
"authorized_official_telephone_number": "865-776-3757",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT, ECS"
},
"taxonomies": [
{
"code": "2251E1300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "TN",
"license": "4175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE (PTAN)",
"identifier": "3654099",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3654099",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
- Neuro Institute of East Tennessee, PLLC
- Abigail Neurohr
- Neurologic Performance Group PC
- Neurological & Spinesurgery of Tennessee
- Neurology Rehabilitation Services
- Neurosurgery & Spine Consultants of East Tennessee PC
- Neurosurgery and Spine Institute of East Tennessee, PLLC
- Neurosurgery Clinic of Knoxville, PLLC
- Neurosurgical Associates, PC
- Neurosurgical Associates, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.