Organization Active NPI

Advanced Rehabilitation & Pain Management LLC

  • Physical Therapy Clinic/Center
  • Lenoir City, TN
National Provider Identifier
1376946491
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
4178 Issued in TN
Legal business name
ADVANCED REHABILITATION & PAIN MANAGEMENT LLC
Practice address
601 W Broadway St
Lenoir City, TN 37771-2702
Phone
(865) 661-2787
NPI assigned
Oct 2, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Maged Y Abdu, PTNPI 1649376674
Title
Owner/Clinical Director
Phone
(865) 661-2787

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

Other NPIs on the same Medicare enrollment 1

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131227000883 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961639760 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lenoir City, TN

National Provider Directory

National Provider Directory
Tax ID family
Advanced Rehab Pain M2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

601 W Broadway St
Lenoir City, TN 37771
Phone (865) 661-2787

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 4178 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

601 W Broadway St
Lenoir City, TN 37771-2702

Mailing address

601 W Broadway St
Lenoir City, TN 37771-2702
Phone (865) 661-2787

Other names 1

NPPES NPI Registry
  • Advanced Physiotherapy Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2025.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1376946491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W BROADWAY ST",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377712702",
            "telephone_number": "865-661-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W BROADWAY ST",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377712702",
            "telephone_number": "865-661-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHABILITATION & PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "ABDU",
        "authorized_official_first_name": "MAGED",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "865-661-2787",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "4178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physiotherapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.