Individual provider Active NPI

Wes Piekosz, RPT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1295828333
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4285 Issued in TN
Practice address
9047 Executive Park Dr
Suite 115
Knoxville, TN 37923-4605
Phone
(865) 531-5820
Fax
(865) 539-6461
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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 4285 TN Primary

Addresses

Primary practice location

9047 Executive Park Dr
Suite 115
Knoxville, TN 37923-4605

Mailing address

9047 Executive Park Dr
Suite 115
Knoxville, TN 37923-4605
Phone (865) 531-5820

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

LicenseStateTypeSpecialty
4285TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Integrated Developmental Services, Inc. Past Accepting new patients
Rehab Specialties, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1295828333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9047 EXECUTIVE PARK DR",
            "address_2": "SUITE 115",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234605",
            "telephone_number": "865-531-5820",
            "fax_number": "865-539-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9047 EXECUTIVE PARK DR",
            "address_2": "SUITE 115",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234605",
            "telephone_number": "865-531-5820",
            "fax_number": "865-539-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEKOSZ",
        "first_name": "WES",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "4285",
            "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 27, 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.

Verify at the official NPI Registry.