Individual provider Active NPI

Jacalyn Renea Goins, D.P.T

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1346427218
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000007970 Issued in TN
Practice address
5822 Lyons View Pike
Knoxville, TN 37919-6471
Phone
(865) 588-6358
Fax
(865) 909-9949
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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 PT0000007970 TN Primary

Addresses

Primary practice location

5822 Lyons View Pike
Knoxville, TN 37919-6471

Mailing address

5822 Lyons View Pike
Knoxville, TN 37919-6471
Phone (865) 588-6358

Other names 1

  • Ms. Jacalyn Renea Duncan Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0000007970TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prompt Physical Therapy Inc. Physical Therapist PastSince Sep 6, 2016 Accepting new patients

Organizations & group practices 1

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1346427218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5822 LYONS VIEW PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196471",
            "telephone_number": "865-588-6358",
            "fax_number": "865-909-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5822 LYONS VIEW PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196471",
            "telephone_number": "865-588-6358",
            "fax_number": "865-909-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOINS",
        "first_name": "JACALYN",
        "middle_name": "RENEA",
        "name_prefix": "Mrs.",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000007970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACALYN",
            "last_name": "DUNCAN",
            "middle_name": "RENEA",
            "prefix": "MS.",
            "credential": "D.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 9, 2009; 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.