Active NPI
Jody Eric Musick, PT
- Physical Therapist
- Kingsport, TN
National Provider Identifier
1174826424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6591
- Practice address
- 110 E Center St
Kingsport, TN 37660-4230 - Phone
- (423) 765-1611
- Fax
- (423) 765-1612
- NPI assigned
- Dec 8, 2010
- Sex
- Male
- 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 | 6591 | TN | Primary |
Addresses
Primary practice location
110 E Center St
Kingsport, TN 37660-4230
Mailing address
406 Roy Martin Rd
Suite 9
Gray, TN 37615-2244
Phone (423) 477-1101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4293094 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| 4293094 | Medicaid | TN | |
| Q004105 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 E Ctr St
Kingsport, TN 37660-4230
Phone (423) 765-1611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6591 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Health and Wellness | Physical Therapist | Current | Accepting new patients |
| Achieve Health and Wellness | Past | Accepting new patients | |
| Achieve Bracing | Past | Accepting new patients | |
| Highlander Family Medicine PLLC | Past | Accepting new patients | |
| Woodstock Rehab & Fitness | Physical Therapist | Past | Accepting new patients |
Locations
406 Roy Martin Rd
Ste 9
Johnson City, TN 37615
Phone (423) 477-1101
110 E Center St
Kingsport, TN 37660
Phone (423) 477-1101
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Gray, TN
- NPI 1639474745
Physical Therapist
-
- Prosthetic/Orthotic Supplier
- Kingsport, TN
- NPI 1023368180
-
- Physical Therapy Clinic/Center
- Gray, TN
- NPI 1386914158
-
- Family Medicine Physician
- Woodstock, VA
- NPI 1326199910
-
- Physical Therapist
- Woodstock, VA
- NPI 1134204548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1174826424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 ROY MARTIN RD",
"address_2": "SUITE 9",
"city": "GRAY",
"state": "TN",
"postal_code": "376152244",
"telephone_number": "423-477-1101",
"fax_number": "423-477-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E CENTER ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604230",
"telephone_number": "423-765-1611",
"fax_number": "423-765-1612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSICK",
"first_name": "JODY",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-08",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "6591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "4293094",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4293094",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q004105",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.