Organization Active NPI

Keen Ortho & Rehab Physiotherapy

Doing business as KOR Therapy

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1346746997
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10764 Issued in TN
Legal business name
KEEN ORTHO & REHAB PHYSIOTHERAPY
Doing business as
KOR Therapy
Practice address
813 Kermit Dr
Knoxville, TN 37912
Phone
(865) 622-5043
Fax
(865) 622-5066
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Brandon Lee Hostetler, DPT
Title
Owner/PT
Phone
(865) 622-5043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 10764 TN Primary

Addresses

Primary practice location

813 Kermit Dr
Knoxville, TN 37912

Mailing address

5101 Marguerite Rd
Knoxville, TN 37912-5411
Phone (865) 622-5043

Other names 2

  • KOR Therapy Doing business as
  • Keen Ortho & Rehab Physiotherapy PLLC. Other name

National Provider Directory

National Provider Directory

Locations

813 Kermit Dr
Knoxville, TN 37912
Phone (865) 622-5043

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1346746997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 MARGUERITE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379125411",
            "telephone_number": "865-622-5043",
            "fax_number": "865-622-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 KERMIT DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37912",
            "telephone_number": "865-622-5043",
            "fax_number": "865-622-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEN ORTHO & REHAB PHYSIOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HOSTETLER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "865-622-5043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KOR Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keen Ortho & Rehab Physiotherapy PLLC.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Keen Ortho & Rehab Physiotherapy PLLC.",
            "code": "5",
            "type": "Other 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 Jun 16, 2018; 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.