Active NPI
Ian Alister McKinley, PT
- Physical Therapist
- Powell, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11651
- Practice address
- 7555 Barnett Way
Powell, TN 37849-3565 - Phone
- (865) 947-8634
- Fax
- (865) 947-9876
- NPI assigned
- Mar 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11651 | TN | Primary |
Addresses
Primary practice location
7555 Barnett Way
Powell, TN 37849-3565
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180807003433 | TN | Practitioner - Physical Therapist in Private Practice | 6002164068 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- East Tennessee State University Quillen College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Tennessee Spine and Sport Inc
Practice addresses (Care Compare)
4905 N Broadway
Knoxville, TN 37918-2315
Phone (865) 689-8299
501 Adesa Blvd
Suite A140
Lenoir City, TN 37771-6720
Phone (865) 333-1461
7240 Kingston Pike
Suite 160
Knoxville, TN 37919-5615
Phone (865) 691-5020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11651 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| East Tennessee Spine & Sport Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192
142 W End Ave
Knoxville, TN 37934
Phone (865) 249-7566
4905 N Broadway St
Knoxville, TN 37918
Phone (865) 689-8299
7240 Kingston Pike
Ste 160
Knoxville, TN 37919
Phone (602) 762-0756
501 Adesa Blvd
Ste A140
Lenoir City, TN 37771
Phone (865) 333-1461
7555 Barnett Way
Powell, TN 37849
Phone (865) 938-3556
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Knoxville, TN
- NPI 1023101144
-
- Physical Therapist
- Chattanooga, TN
- NPI 1104878354
-
- Physical Therapist
- Hermitage, TN
- NPI 1952848434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1396247490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-8930",
"fax_number": "423-254-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7555 BARNETT WAY",
"city": "POWELL",
"state": "TN",
"postal_code": "378493565",
"telephone_number": "865-947-8634",
"fax_number": "865-947-9876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINLEY",
"first_name": "IAN",
"middle_name": "ALISTER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-05",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "11651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Powell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.