Individual provider Active NPI

Matthew Abernethy, DPT

  • Physical Therapist
  • Oak Ridge, TN
National Provider Identifier
1306530811
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
142 Fairbanks Rd Ste 150
Oak Ridge, TN 37830-7019
Phone
(865) 888-5431
NPI assigned
Jun 7, 2023
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 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 Primary

Addresses

Primary practice location

142 Fairbanks Rd Ste 150
Oak Ridge, TN 37830-7019

Mailing address

142 Fairbanks Rd Ste 150
Oak Ridge, TN 37830-7019
Phone (865) 888-5431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711000954 TN Practitioner - Physical Therapist in Private Practice 4688033582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

1124 N Gateway Ave
Suite 3
Rockwood, TN 37854-4214
Phone (865) 882-9183

188 Market St
Kingston, TN 37763-2369
Phone (865) 378-5700

5220 Park Ave
Suite 201
Memphis, TN 38119-3549
Phone (901) 683-9630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Triumphant Physical Therapy Current Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 11, 2024 Accepting new patients
Agilitas USA, Inc CurrentSince Mar 11, 2024 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2849

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1306530811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 FAIRBANKS RD STE 150",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307019",
            "telephone_number": "865-888-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 FAIRBANKS RD STE 150",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307019",
            "telephone_number": "865-888-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERNETHY",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.