Individual provider Active NPI

Thomas Julian Lane, PT DPT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1235859166
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14391 Issued in TN
Practice address
111 Fox Road
Ste 101
Knoxville, TN 37922-9000
Phone
(865) 351-0615
Fax
(865) 622-9566
NPI assigned
Aug 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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 14391 TN Primary

Addresses

Primary practice location

111 Fox Road
Ste 101
Knoxville, TN 37922-9000

Mailing address

111 Fox Road
Ste 101
Knoxville, TN 37922-9000
Phone (865) 351-0615

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221027000226 TN Practitioner - Physical Therapist in Private Practice 7315313707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simply Physio LLCGroup PAC ID 8729320338, 7 clinicians

Practice addresses (Care Compare)

111 Fox Rd
Suite 101
Knoxville, TN 37922-9000
Phone (865) 351-0615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14391TNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Physio LLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Nuber Chiropractic LLC PastSince Oct 21, 2025 Accepting new patients
Tristar Physical Therapy LLC Physical Therapist PastSince Feb 1, 2022 Accepting new patients

Locations

111 Fox Rd
Ste 101
Knoxville, TN 37922
Phone (865) 351-0615

111 Loudoun Rd
Ste 102
Knoxville, TN 37934
Phone (865) 351-0615

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1235859166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FOX ROAD",
            "address_2": "STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379229000",
            "telephone_number": "865-351-0615",
            "fax_number": "865-622-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FOX ROAD",
            "address_2": "STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379229000",
            "telephone_number": "865-351-0615",
            "fax_number": "865-622-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "THOMAS",
        "middle_name": "JULIAN",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14391",
            "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 Dec 23, 2024; 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.