Individual provider Active NPI

Kaylor Denise Dillman

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1144857269
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15816 Issued in TN
Practice address
10670 Parkside Dr Ste 106
Knoxville, TN 37922-1906
Phone
(865) 671-4466
NPI assigned
Mar 26, 2020
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15816 TN Primary

Addresses

Primary practice location

10670 Parkside Dr Ste 106
Knoxville, TN 37922-1906

Mailing address

220 Rivers Edge Dr
Loudon, TN 37774-5957
Phone (865) 660-3416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930001969 NC Practitioner - Physical Therapist in Private Practice 6901225648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15816TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte One on One Physical Therapy Physical Therapist CurrentSince Jun 20, 2022 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Physical Therapist Past Accepting new patients
Physiotherapy Associates Inc PastSince Jul 28, 2024 Accepting new patients
Physiotherapy Associates Inc PastSince Jul 28, 2024 Accepting new patients

Locations

6115 Park South Dr
Ste 360
Charlotte, NC 28210
Phone (980) 223-2302

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1144857269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RIVERS EDGE DR",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377745957",
            "telephone_number": "865-660-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 PARKSIDE DR STE 106",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221906",
            "telephone_number": "865-671-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLMAN",
        "first_name": "KAYLOR",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15816",
            "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 Jul 25, 2024; 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.