NPIMap

Organization Active NPI

Pro Therapy Services of East Tennessee

  • Physical Therapy Clinic/Center
  • Gatlinburg, TN
National Provider Identifier
1376695817
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5088 Issued in TN
Legal business name
PRO THERAPY SERVICES OF EAST TENNESSEE
Practice address
1235 E Parkway
Unit 5
Gatlinburg, TN 37738-5656
Phone
(865) 436-6767
Fax
(865) 436-6768
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Travis Loveday, PTNPI 1700947850
Title
Director, Coowner
Phone
(865) 908-3205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5088 TN Primary

Addresses

Primary practice location

1235 E Parkway
Unit 5
Gatlinburg, TN 37738-5656

Mailing address

1103 Village Dr
Sevierville, TN 37862
Phone (865) 908-7041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702001224 TN Part B Supplier - Clinic/Group Practice 2567449804 Receives reassigned benefits from 16 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dandridge, TN; Gatlinburg, TN; Pigeon Forge, TN; Sevierville, TN; Seymour, TN

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pro Therapy Services of East Tennessee3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1103 Village Dr
Sevierville, TN 37862
Phone (865) 908-3261

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376695817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "37862",
            "telephone_number": "865-908-7041",
            "fax_number": "865-908-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E PARKWAY",
            "address_2": "UNIT 5",
            "city": "GATLINBURG",
            "state": "TN",
            "postal_code": "377385656",
            "telephone_number": "865-436-6767",
            "fax_number": "865-436-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO THERAPY SERVICES OF EAST TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVEDAY",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "DIRECTOR, COOWNER",
        "authorized_official_telephone_number": "865-908-3205",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "5088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gatlinburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.