Active NPI
Advanced Rehabilitation & Pain Management LLC
- Physical Therapy Clinic/Center
- Lenoir City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 4178
- 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, PT
- 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.
-
- Physical Therapist
- Knoxville, TN
- NPI 1699105049
O20131227000883
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Lenoir City, TN
- NPI 1649376674
-
- Massage Therapist
- Lenoir City, TN
- NPI 1689771230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 M
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Knoxville, TN
- NPI 1699105049
Locations
601 W Broadway St
Lenoir City, TN 37771
Phone (865) 661-2787
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 4178 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.