Individual provider Active NPI

Charles A Diegel, PT

  • Physical Therapist
  • Lenoir City, TN
National Provider Identifier
1255690285
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9278 Issued in TN
Practice address
576 Fort Loudoun Medical Center Dr Ste 100a
Lenoir City, TN 37772-5676
Phone
(865) 988-8796
Fax
(865) 988-8798
NPI assigned
May 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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 9278 TN Primary

Addresses

Primary practice location

576 Fort Loudoun Medical Center Dr Ste 100a
Lenoir City, TN 37772-5676

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (865) 694-0062

Other practice location 1

9430 Park West Blvd Ste 230
Knoxville, TN 37923-4204
Phone (865) 560-8550

Other identifiers 1

IdentifierTypeStateIssuer
1528678MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120710000595 TN Practitioner - Physical Therapist in Private Practice 3678738069 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
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians

Practice addresses (Care Compare)

576 Ft Loudoun Med Ctr Dr
Suite 100
Lenoir City, TN 37772-5676
Phone (865) 988-8667

8 City Blvd
Suite 100
Nashville, TN 37209-2558
Phone (615) 329-6600

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9278TNMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Clinics PC CurrentSince May 17, 2012 Accepting new patients
Tennessee Orthopaedic Clinics PC CurrentSince May 17, 2012 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Alliance PA PastSince Dec 15, 2019 Accepting new patients

Locations

9430 Park West Blvd
Ste 130
Knoxville, TN 37923
Phone (865) 694-8353

9430 Park West Blvd
Ste 230
Knoxville, TN 37923
Phone (865) 560-8550

9129 Cross Park Dr
Ste 101
Knoxville, TN 37923
Phone (865) 694-7725

576 Fort Loudoun Med Center Dr
Ste 100
Lenoir City, TN 37772
Phone (865) 988-8667

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

988 Oak Ridge Tpke
Ste 100
Oak Ridge, TN 37830
Phone (865) 483-8478

Interoperability endpoints

  • Direct secure messaging: charlesa.diegel.p2@direct.toa.nextgenshare.com

Organizations & group practices 5

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": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1255690285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "865-694-0062",
            "fax_number": "865-694-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 FORT LOUDOUN MEDICAL CENTER DR STE 100A",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725676",
            "telephone_number": "865-988-8796",
            "fax_number": "865-988-8798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9430 Park West Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234204",
            "country_code": "US",
            "telephone_number": "865-560-8550",
            "fax_number": "865-560-8551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEGEL",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528678",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.