Active NPI
Elizabeth V Macdonald, PT
- Physical Therapist
- Knoxville, TN
National Provider Identifier
1174928659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005220
- Practice address
- 614 Mabry Hood Rd
Suite 301
Knoxville, TN 37932-2669 - Phone
- (865) 531-2204
- NPI assigned
- Oct 27, 2014
- 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 | PT005220 | GA | 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) 531-2204
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1174928659",
"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": "865-531-2204"
},
{
"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": "865-531-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "ELIZABETH",
"middle_name": "V",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT005220",
"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 Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.