Active NPI
Jeremy K Plemons, PTA
- Physical Therapy Assistant
- Knoxville, TN
National Provider Identifier
1245327741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA3366
- Practice address
- 4905 N Broadway
Knoxville, TN 37918-2315 - Phone
- (865) 689-8299
- Fax
- (865) 689-9804
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA3366 | TN | Primary |
Addresses
Primary practice location
4905 N Broadway
Knoxville, TN 37918-2315
Mailing address
150 N Martinwood
Ste 402
Knoxville, TN 37923-5124
Phone (865) 691-5020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA3366 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Spine & Sport Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Knoxville, TN
- NPI 1023101144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245327741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N MARTINWOOD",
"address_2": "STE 402",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379235124",
"telephone_number": "865-691-5020",
"fax_number": "865-691-5009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 N BROADWAY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379182315",
"telephone_number": "865-689-8299",
"fax_number": "865-689-9804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLEMONS",
"first_name": "JEREMY",
"middle_name": "K",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "PTA3366",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.