Maximum Potential Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000009852 Issued in TN

Legal business name

MAXIMUM POTENTIAL PHYSICAL THERAPY, PLLC

Practice address

2189 Highway 297
Jellico, TN 37762-3416

Phone

(423) 912-6085

NPI assigned

Jul 22, 2014

Organization subpart

No

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

Authorized official

Name

Morgan LayNPI 1588094650

Title

Physical Therapist

Phone

(423) 912-6085

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, KY2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Morgan Lay, PT

  • Physical Therapist
  • Williamsburg, KY
  • NPI 1588094650

  KY, TN

  Medicare reassignment Care Compare group Authorized official
• Walter Stephens, PT

  • Physical Therapist
  • Jellico, TN
  • NPI 1134589823

  KY, TN

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1124435102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 HIGHWAY 297",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377623416",
            "telephone_number": "423-912-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2189 HIGHWAY 297",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377623416",
            "telephone_number": "423-912-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM POTENTIAL PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "LAY",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "423-912-6085"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000009852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Humayun Kabir, MD
• Suzanne Musick Kitts, PHARMD
• Terrence Wesley Leveck, MD
• Frederick Warren Martin, O.D.
• Cynthia Ann Mason, LPC-MHSP
• Memorial Hospital, Inc.
• Natalie Sue Nantz, PHARMD
• North Campbell Community Hospital Inc
• North Campbell Community Hospital Inc
• Pine Mountain Emergency Physicians

• All providers in Jellico, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.

Verify at the official NPI Registry.