Individual provider Active NPI

Taylor Brooke Lamotte

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1184357360
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14132 Issued in TN
Practice address
4905 N Broadway St
Knoxville, TN 37918-2315
Phone
(865) 689-8299
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 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 14132 TN Primary

Addresses

Primary practice location

4905 N Broadway St
Knoxville, TN 37918-2315

Mailing address

8407 Hounds Run CT
Powell, TN 37849-3056
Phone (865) 363-1178

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220922000788 TN Practitioner - Physical Therapist in Private Practice 4385029628 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Spine & Sport Inc Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients

Locations

142 W End Ave
Knoxville, TN 37934
Phone (865) 249-7566

1319 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 217-6853

4905 N Broadway St
Knoxville, TN 37918
Phone (865) 689-8299

7240 Kingston Pike
Ste 160
Knoxville, TN 37919
Phone (602) 762-0756

10966 Spring Bluff Way
Knoxville, TN 37932
Phone (865) 599-5323

501 Adesa Blvd
Ste A140
Lenoir City, TN 37771
Phone (865) 333-1461

142 Fairbanks Rd
Ste 150
Oak Ridge, TN 37830
Phone (865) 888-5431

Organizations & group practices 1

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": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1184357360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 HOUNDS RUN CT",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493056",
            "telephone_number": "865-363-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 N BROADWAY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182315",
            "telephone_number": "865-689-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOTTE",
        "first_name": "TAYLOR",
        "middle_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14132",
            "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 Nov 23, 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.