Individual provider Active NPI

Tracy Mullins, PT

  • Physical Therapist
  • Morristown, TN
National Provider Identifier
1396797130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000004729 Issued in TN
Practice address
2412 W Andrew Johnson Hwy
Morristown, TN 37814-3276
Phone
(423) 317-9699
Fax
(423) 317-9225
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0000004729 TN Primary

Addresses

Primary practice location

2412 W Andrew Johnson Hwy
Morristown, TN 37814-3276

Mailing address

2412 W Andrew Johnson Hwy
Morristown, TN 37814-3276
Phone (423) 317-9699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060524000210 TN Practitioner - Physical Therapist in Private Practice 4880605203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4729TNMDRegistered Dietitian
PT0000004729TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Group of Morristown, Inc. Physical Therapist CurrentSince Mar 21, 2026 Accepting new patients

Locations

1047 Highway 92 S
Dandridge, TN 37725
Phone (865) 397-5073

2259 Sandstone Dr
Morristown, TN 37814
Phone (423) 317-9699

2412 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 317-9699

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396797130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143276",
            "telephone_number": "423-317-9699",
            "fax_number": "423-317-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143276",
            "telephone_number": "423-317-9699",
            "fax_number": "423-317-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "TRACY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000004729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.