Individual provider Active NPI

Stacey Renea Cole, PT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1215452230
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12351 Issued in TN
Practice address
8020 Asheville Hwy
Knoxville, TN 37924-3005
Phone
(865) 465-6100
Fax
(865) 465-6101
NPI assigned
Aug 10, 2017
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 12351 TN Primary

Addresses

Primary practice location

8020 Asheville Hwy
Knoxville, TN 37924-3005

Mailing address

203 Narrows Pkwy Ste D
Birmingham, AL 35242-8649
Phone (205) 719-2420

Other names 1

  • Stacey R Shelton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024002225 TN Practitioner - Physical Therapist in Private Practice 2860724812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8020 Asheville Hwy
Knoxville, TN 37924-3005
Phone (865) 465-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 2, 2022 Accepting new patients
Summit Medical Group, PLLC CurrentSince Sep 17, 2019 Accepting new patients
Summit Medical Group, PLLC CurrentSince Sep 17, 2019 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 2, 2022 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

203 Narrows Pkwy
Ste D
Birmingham, AL 35242
Phone (205) 719-2420

1999 Rutledge Pike
Blaine, TN 37709
Phone (865) 498-6900

1754 Decherd Blvd
Decherd, TN 37324
Phone (205) 607-0632

1229 Huntsville Hwy
Ste B
Fayetteville, TN 37334
Phone (205) 999-4622

103 Midlake Dr
Lowr
Knoxville, TN 37918
Phone (865) 470-2696

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

7212 Kingston Pike
Ste 105
Knoxville, TN 37919
Phone (856) 770-5100

9333 Park West Blvd
Ste 102
Knoxville, TN 37923
Phone (865) 470-2696

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1215452230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NARROWS PKWY STE D",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428649",
            "telephone_number": "205-719-2420",
            "fax_number": "205-719-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 ASHEVILLE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379243005",
            "telephone_number": "865-465-6100",
            "fax_number": "865-465-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "STACEY",
        "middle_name": "RENEA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "SHELTON",
            "middle_name": "R",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 8, 2025; 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.

Verify at the official NPI Registry.