Active NPI
Karissa L Debenport, PT
- Orthopedic Physical Therapist
- Knoxville, TN
National Provider Identifier
1245528645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 9017
- Practice address
- 8904 Cross Park Dr
Knoxville, TN 37923-4703 - Phone
- (865) 690-2671
- Fax
- (865) 690-6445
- NPI assigned
- Jul 19, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 9017 | TN | Primary |
Addresses
Primary practice location
8904 Cross Park Dr
Knoxville, TN 37923-4703
Mailing address
PO Box 32709
Knoxville, TN 37930-2709
Phone (865) 558-6484
Other names 1
- Ms. Karissa L Wimsatt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110728000280 | TN | Practitioner - Physical Therapist in Private Practice | 1951579440 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9017 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabsuite Inc | Orthopedic | Current | Accepting new patients |
Locations
5016 Centennial Blvd
Ste 200
Nashville, TN 37209
Phone (615) 212-8284
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1245528645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32709",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379302709",
"telephone_number": "865-558-6484",
"fax_number": "865-584-4037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8904 CROSS PARK DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234703",
"telephone_number": "865-690-2671",
"fax_number": "865-690-6445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBENPORT",
"first_name": "KARISSA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TN",
"license": "9017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARISSA",
"last_name": "WIMSATT",
"middle_name": "L",
"prefix": "MS.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}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 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.