Organization Active NPI

Neurosolutions, LLC

  • Clinical Electrophysiology Physical Therapist
  • Knoxville, TN
National Provider Identifier
1124364245
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
4175 Issued in TN
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

Updated by the provider on Dec 27, 2012

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, ECSNPI 1083830996
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)CodeLicenseStatePrimary
Clinical Electrophysiology Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3654099OtherMEDICARE (PTAN)
3654099MedicaidTN

National Provider Directory

National Provider Directory

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": "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

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.

Verify at the official NPI Registry.