NPIMap

Organization Active NPI

Summit Physical Therapy

  • Physical Therapist
  • Hixson, TN
National Provider Identifier
1225514110
Registry record updated Jul 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUMMIT PHYSICAL THERAPY
Practice address
1790 Hamill Road
Hixson, TN 37342
Phone
(423) 842-9322
Fax
(866) 591-0619
NPI assigned
Jul 14, 2018
Last updated
Jul 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2018

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

Authorized official

Name
Kevin Kostka, DPTNPI 1265494876
Title
Co-Owner,Doctor of Physical Therapy
Phone
(423) 842-9322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1790 Hamill Road
Hixson, TN 37342

Mailing address

1790 Hamill Road
Hixson, TN 37342
Phone (423) 842-9322

National Provider Directory

National Provider Directory

Locations

1790 Hamill Rd
Hixson, TN 37343
Phone (423) 362-4381

Practitioners & affiliated clinicians

Practitioners 76

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531526400000",
    "number": "1225514110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 HAMILL ROAD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "37342",
            "telephone_number": "423-842-9322",
            "fax_number": "866-591-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 HAMILL ROAD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "37342",
            "telephone_number": "423-842-9322",
            "fax_number": "866-591-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-14",
        "last_updated": "2018-07-14",
        "status": "A",
        "authorized_official_last_name": "KOSTKA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CO-OWNER,DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "423-842-9322",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; 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.