Individual provider Active NPI

Joseph L. Easley III, DPT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1346780350
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11171 Issued in TN
Practice address
7811 Oak Ridge Hwy Ste 3
Knoxville, TN 37931-2345
Phone
(865) 313-2445
Fax
(865) 313-2455
NPI assigned
Feb 24, 2017
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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 11171 TN Primary

Addresses

Primary practice location

7811 Oak Ridge Hwy Ste 3
Knoxville, TN 37931-2345

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 TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170525000507 TN Practitioner - Physical Therapist in Private Practice 6406123322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Knox Physical Therapy, LLCGroup PAC ID 3072868090, 14 clinicians

Practice addresses (Care Compare)

7811 Oak Ridge Hwy
Suite 3
Knoxville, TN 37931-2345
Phone (865) 804-8921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11171TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Mar 1, 2017 Accepting new patients
Knox Physical Therapy, LLC Physical Therapist CurrentSince Jan 15, 2018 Accepting new patients
Summit Medical Group, PLLC CurrentSince Mar 1, 2017 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

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

9333 Park West Blvd
Ste 102
Knoxville, TN 37923
Phone (865) 470-2696

Organizations & group practices 5

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": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1346780350",
    "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": "7811 OAK RIDGE HWY STE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379312345",
            "telephone_number": "865-313-2445",
            "fax_number": "865-313-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASLEY",
        "first_name": "JOSEPH",
        "middle_name": "L.",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-24",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11171",
            "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 Mar 22, 2024; 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.