Active NPI
Keen Ortho & Rehab Physiotherapy
Doing business as KOR Therapy
- Physical Therapist
- Knoxville, TN
National Provider Identifier
1346746997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10764
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
- Keen Ortho & Rehab Physiotherapy PLLC.
National Provider Directory
National Provider DirectoryLocations
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.