Individual provider Active NPI

Michael P Larrabee, PT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1336105824
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5078 Issued in TN
Practice address
200 Center Park Dr
Knoxville, TN 37922-2104
Phone
(865) 806-8911
Fax
(865) 558-1474
NPI assigned
Apr 24, 2006
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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 5078 TN Primary

Addresses

Primary practice location

200 Center Park Dr
Knoxville, TN 37922-2104

Mailing address

1109 April Dr
Knoxville, TN 37919-8121
Phone (865) 806-8911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260608002387 TN Practitioner - Physical Therapist in Private Practice 7012488380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 Troy Cir
Suite B
Knoxville, TN 37919-6101
Phone (865) 804-4923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Performance Inc Current Accepting new patients
Therapy Center Inc Physical Therapist Past Accepting new patients

Locations

200 Center Park Dr
Knoxville, TN 37922
Phone (865) 804-4923

333 Troy Cir
Ste B
Knoxville, TN 37919

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, 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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1336105824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 APRIL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379198121",
            "telephone_number": "865-806-8911",
            "fax_number": "865-558-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222104",
            "telephone_number": "865-806-8911",
            "fax_number": "865-558-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRABEE",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5078",
            "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 Nov 30, 2016; 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.