Amy Bockmon, PTA
Individual provider Active NPI Physical Therapy Assistant · Red Bank, TN
NPI 1225977762 · NPPES record last updated Mar 27, 2026
Key facts
- NPI
- 1225977762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 6868 (TN)
- Practice address
- 3404 Dayton Blvd Apt a
Red Bank, TN 37415-4646 - Phone
- (423) 994-2993
- NPI assigned
- Mar 27, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6868 | TN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 6868 | TN | Yes |
Addresses
Primary practice location
3404 Dayton Blvd Apt a
Red Bank, TN 37415-4646
Mailing address
3404 Dayton Blvd Apt a
Red Bank, TN 37415-4646
Other names
- Amy Farris
Other providers in Red Bank, TN
- Another Chance at Life Inc.
- Benchmark Healthcare Services LLC
- Adam Forrest Brandon
- Caryn Leigh Culver
- Ava Rose Dettore
- Cassandra Marie Englert
- Anthony Lamar Evans
All providers in Red Bank, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.