Organization Active NPI

Rehab Group of Morristown, Inc.

  • Physical Therapist
  • Morristown, TN
National Provider Identifier
1174604698
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000004198 Issued in TN
Legal business name
REHAB GROUP OF MORRISTOWN, INC.
Practice address
2259 Sandstone Dr
Morristown, TN 37814-2593
Phone
(423) 317-9699
Fax
(423) 317-9225
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Mr. Matthew James BarnesNPI 1396728713
Title
Vice President
Phone
(865) 397-5073

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT0000004198 TN Primary

Addresses

Primary practice location

2259 Sandstone Dr
Morristown, TN 37814-2593

Mailing address

2259 Sandstone Dr
Morristown, TN 37814-2593
Phone (865) 397-5073

Other names 1

  • REHAB GROUP OF DANDRIDGE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915000323 TN Part B Supplier - Clinic/Group Practice 3476586991 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dandridge, TN; Morristown, TN; Talbott, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Rehab Group of Dandridge3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1047 Highway 92 S
Ste C
Dandridge, TN 37725

2412 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 317-9699

Practitioners & affiliated clinicians

Practitioners 8

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1174604698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 SANDSTONE DR",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378142593",
            "telephone_number": "865-397-5073",
            "fax_number": "865-397-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 SANDSTONE DR",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378142593",
            "telephone_number": "423-317-9699",
            "fax_number": "423-317-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB GROUP OF MORRISTOWN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "865-397-5073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000004198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REHAB GROUP OF DANDRIDGE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REHAB GROUP OF DANDRIDGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.