Foothills Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FOOTHILLS PHYSICAL THERAPY LLC

Doing business as

Foothills Physical Therapy Group

Practice address

221 W Young High Pike
Knoxville, TN 37920-3051

Phone

(865) 573-6458

Fax

(865) 577-8147

NPI assigned

Jun 8, 2022

Last updated

Jun 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Dulling, PT

Title

Owner

Phone

(865) 573-6458

Specialties & licenses 1

Addresses

Other names 1

• Foothills Physical Therapy Group Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Summer Calloway, PT, DPT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1053171082
  Medicare reassignment Care Compare group NPD
• Forrest Richard Dyer, DPT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1306338447
  Medicare reassignment Care Compare group NPD
• Rebekah Gabriella White, PT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1740927854
  Medicare reassignment Care Compare group NPD
• Jessica Skyler Woidtke, PT, DPT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1366312118
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1356070049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W YOUNG HIGH PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203051",
            "telephone_number": "865-573-6458",
            "fax_number": "865-577-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W YOUNG HIGH PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203051",
            "telephone_number": "865-573-6458",
            "fax_number": "865-577-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "DULLING",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-573-6458",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Physical Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foothills Physical Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Foot and Ankle Clinic of East Tennessee
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• Foot Solutions Knoxville Inc
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• Debra Forcina
• Kaitlin Morgan Forczek
• Alexis Ford, MA, BCBA
• Craig Ford

• Physical Therapist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.