Individual provider Active NPI

Bonnie Bastian, PT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1306800594
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16078 Issued in TN
Practice address
709 S Concord St
Knoxville, TN 37919-3309
Phone
(865) 637-2321
Fax
(865) 637-4664
NPI assigned
Apr 14, 2006
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 1022 NH
Physical Therapist 225100000X 16078 TN Primary

Addresses

Primary practice location

709 S Concord St
Knoxville, TN 37919-3309

Mailing address

7811 Oak Ridge Hwy Ste 3
Knoxville, TN 37931-2345
Phone (865) 313-2445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150924003184 NH Practitioner - Physical Therapist in Private Practice 1456669415 Reassigns benefits to 1 organization
I20250722000852 TN Practitioner - Physical Therapist in Private Practice 1456669415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Wayne State University School of Medicine, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Knox Physical Therapy, LLCGroup PAC ID 3072868090, 14 clinicians

Practice addresses (Care Compare)

709 S Concord St
Knoxville, TN 37919-3309
Phone (865) 637-2321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16078TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2015 Accepting new patients
Knox Physical Therapy, LLC Physical Therapist CurrentSince May 12, 2025 Accepting new patients
Balance Rehabilitation and Health Science, LLC Physical Therapist PastSince Apr 25, 2025 Accepting new patients
Mark L. Collins Physical Therapist Past Accepting new patients

Locations

1 Cate St
Ste 110
Portsmouth, NH 03801
Phone (603) 431-0277

465 N Park 40 Blvd
Knoxville, TN 37923
Phone (865) 357-5088

709 S Concord St
Knoxville, TN 37919
Phone (865) 637-2321

7811 Oak Ridge Hwy
Ste 3
Knoxville, TN 37931
Phone (865) 313-2445

Organizations & group practices 4

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1306800594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 OAK RIDGE HWY STE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379312345",
            "telephone_number": "865-313-2445",
            "fax_number": "865-313-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S CONCORD ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193309",
            "telephone_number": "865-637-2321",
            "fax_number": "865-637-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIAN",
        "first_name": "BONNIE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1022",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16078",
            "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 9, 2025; 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.