Charlene Duckworth, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5158 Issued in TN

Practice address

700 Williams Ferry Rd
Lenoir City, TN 37771-7375

Phone

(865) 986-3583

NPI assigned

Jan 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1366713133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WILLIAMS FERRY RD",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377717375",
            "telephone_number": "865-986-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WILLIAMS FERRY RD",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377717375",
            "telephone_number": "865-986-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKWORTH",
        "first_name": "CHARLENE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinar Sayani Internal Medicine, PLLC
• Leah Emily Dobbins, M.D.
• Amy McMahon Dorset, PT
• Susan Janine Dorsey, PTA
• Sarah Elizabeth Dubroc, FNP-BC
• Taylor Duncan
• Rasmus Dyhr, D.C.
• John Henry Eason Jr., MD
• Latasha Edington
• Michael Todd Elliott, DC

• All providers in Lenoir City, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.