Organization Active NPI

Vip Physical Therapy, LLC

  • Physical Therapist
  • Newport, TN
National Provider Identifier
1194015222
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7960 Issued in TN
Legal business name
VIP PHYSICAL THERAPY, LLC
Practice address
413 W Broadway
Newport, TN 37821-2219
Phone
(423) 623-7777
Fax
(423) 623-0707
NPI assigned
Apr 11, 2011
Organization subpart
Yes
Parent organization
PREMIER THERAPY ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Dr. Megan Stinson, PT, DPT
Title
Owner/PT
Phone
(423) 623-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 7960 TN Primary

Addresses

Primary practice location

413 W Broadway
Newport, TN 37821-2219

Mailing address

413 W Broadway
Newport, TN 37821-2219
Phone (423) 623-7777

Other identifiers 1

IdentifierTypeStateIssuer
1962709121OtherTNNPI

National Provider Directory

National Provider Directory
Part of
Premier Therapy Associates LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1194015222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W BROADWAY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378212219",
            "telephone_number": "423-623-7777",
            "fax_number": "423-623-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W BROADWAY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378212219",
            "telephone_number": "423-623-7777",
            "fax_number": "423-623-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP PHYSICAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER THERAPY ASSOCIATES, LLC",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "423-623-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962709121",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.