Active NPI
Melody E Buck, PT
- Physical Therapist
- Knoxville, TN
National Provider Identifier
1144568403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 642
- Practice address
- 614 Mabry Hood Rd
Suite 301
Knoxville, TN 37932-2669 - Phone
- (865) 474-8410
- Fax
- (855) 232-8604
- NPI assigned
- Jan 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 642 | TN | Primary |
Addresses
Primary practice location
614 Mabry Hood Rd
Suite 301
Knoxville, TN 37932-2669
Mailing address
614 Mabry Hood Rd
Suite 301
Knoxville, TN 37932-2669
Phone (865) 474-8410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 642 | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1144568403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 MABRY HOOD RD",
"address_2": "SUITE 301",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379322669",
"telephone_number": "865-474-8410",
"fax_number": "855-232-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 MABRY HOOD RD",
"address_2": "SUITE 301",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379322669",
"telephone_number": "865-474-8410",
"fax_number": "855-232-8604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "MELODY",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-22",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "642",
"primary": true
}
],
"identifiers": [],
"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 Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.