Individual provider Active NPI

Sloan Williams Allen

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1225418064
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11524 Issued in TN
Practice address
5720 Sanford Rd
Knoxville, TN 37912-2124
Phone
(678) 983-1763
NPI assigned
Jun 7, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011909 GA
Physical Therapist 225100000X 11524 TN Primary

Addresses

Primary practice location

5720 Sanford Rd
Knoxville, TN 37912-2124

Mailing address

5720 Sanford Rd
Knoxville, TN 37912-2124
Phone (678) 983-1763

Other practice location 1

6920 McGinnis Ferry Rd Ste 320
Suwanee, GA 30024-6673
Phone (770) 495-0610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171003006928 TN Practitioner - Physical Therapist in Private Practice 0941517585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7700 Dannaher Dr
Powell, TN 37849-4028
Phone (865) 512-8376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11524TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

7545 Thunder Ln
Powell, TN 37849
Phone 8552393467788

Organizations & group practices 3

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": "1433635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225418064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 SANFORD RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122124",
            "telephone_number": "678-983-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 SANFORD RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122124",
            "telephone_number": "678-983-1763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6920 McGinnis Ferry Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246673",
            "country_code": "US",
            "telephone_number": "770-495-0610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SLOAN",
        "middle_name": "WILLIAMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011909",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11524",
            "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 Jul 21, 2022; 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.