Individual provider Active NPI

Kristen Bonk, DPT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1255680401
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968
Phone
(865) 588-8005
Fax
(865) 584-1363
NPI assigned
Sep 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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 Primary

Addresses

Primary practice location

7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968

Mailing address

325 W Morris Blvd Ste B
Morristown, TN 37813-2237
Phone (423) 375-8907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813003017 TN Practitioner - Physical Therapist in Private Practice 9739332966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan C BlackGroup PAC ID 5890117469, 24 clinicians

Practice addresses (Care Compare)

1009 Hampshire Dr
Maryville, TN 37801-3525
Phone (865) 518-6791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Sep 12, 2021 Accepting new patients
Summit Medical Group, PLLC CurrentSince Sep 12, 2021 Accepting new patients
Jordan C Black Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients
904 Therapy LLC PastSince Apr 10, 2022 Accepting new patients

Locations

2250 Broadway Dr
Ste A1
Bean Station, TN 37708
Phone (865) 935-8111

263 E Broadway Blvd
Jefferson City, TN 37760
Phone (865) 375-0880

2041 Hamilton Pl
Johnson City, TN 37604
Phone (423) 804-1020

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

7211 Wellington Dr
Ste 101
Knoxville, TN 37919
Phone (865) 588-8005

1009 Hampshire Dr
Maryville, TN 37801
Phone (865) 518-6791

325 W Morris Blvd
Ste B
Morristown, TN 37813
Phone (423) 317-7772

325 W Morris Blvd
Morristown, TN 37813
Phone (423) 258-2264

410 N Broad St
New Tazewell, TN 37825
Phone (423) 317-7772

113 Hedrick Dr
Newport, TN 37821
Phone (423) 438-1124

900 W Main St
Rogersville, TN 37857
Phone (423) 272-8829

Organizations & group practices 6

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": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1255680401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W MORRIS BLVD STE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132237",
            "telephone_number": "423-375-8907",
            "fax_number": "423-822-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 WELLINGTON DR STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195968",
            "telephone_number": "865-588-8005",
            "fax_number": "865-584-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONK",
        "first_name": "KRISTEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Aug 20, 2026; 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.