Individual provider Active NPI

Justin M. Rawls, DPT

  • Orthopedic Physical Therapist
  • Knoxville, TN
National Provider Identifier
1144579301
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
9451 Issued in TN
Practice address
8904 Cross Park Dr
Knoxville, TN 37923-4703
Phone
(865) 690-2671
Fax
(865) 690-6445
NPI assigned
Sep 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 9451 TN Primary

Addresses

Primary practice location

8904 Cross Park Dr
Knoxville, TN 37923-4703

Mailing address

PO Box 32709
Knoxville, TN 37930-2709
Phone (865) 558-6484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130716000512 LA Practitioner - Physical Therapist in Private Practice 2163670787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2269 Arkansas Rd
West Monroe, LA 71291-7818
Phone (318) 503-2689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9451TNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rawls Physical Therapy Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Therapy Center Inc Physical Therapist CurrentSince Aug 29, 2012 Accepting new patients
Melanie Massey Physical Therapy Inc Physical Therapist CurrentSince Apr 22, 2013 Accepting new patients
Northeast Louisiana Rehabilitation Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Northeast Louisiana Rehabilitation Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Melanie Massey Infant & Toddler LLC Physical Therapist Past Accepting new patients

Locations

204 Boots Dr
Farmerville, LA 71241
Phone (318) 381-9337

107 Summer Ln
West Monroe, LA 71291
Phone (318) 396-1969

3103 Cypress St
Ste 3
West Monroe, LA 71291

2269 Arkansas Rd
West Monroe, LA 71291
Phone (224) 430-4917

2910 Tazewell Pike
Ste A
Knoxville, TN 37918
Phone (865) 687-1512

8904 Cross Park Dr
Knoxville, TN 37923
Phone (865) 558-6484

1030 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 482-7730

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1144579301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32709",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379302709",
            "telephone_number": "865-558-6484",
            "fax_number": "865-584-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8904 CROSS PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234703",
            "telephone_number": "865-690-2671",
            "fax_number": "865-690-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLS",
        "first_name": "JUSTIN",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "9451",
            "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 Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.