Individual provider Active NPI

Vanessa M Horne, PT, ATC

  • Physical Therapist
  • Harriman, TN
National Provider Identifier
1396959748
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0000007471 Issued in TN
Practice address
1855 Tanner Way Ste 140
Harriman, TN 37748-8331
Phone
(865) 376-6566
Fax
(865) 376-6806
NPI assigned
May 9, 2007
Last updated
Oct 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0000007471 TN Primary
Athletic Trainer 2255A2300X 0849 TN

Addresses

Primary practice location

1855 Tanner Way Ste 140
Harriman, TN 37748-8331

Mailing address

PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590

Other practice location 1

875 Larry Neil Way
Kingsport, TN 37660-6368
Phone (423) 282-9570

Other practice location 2

103 W Stone Dr
Suite 200
Kingsport, TN 37660-3220
Phone (423) 224-5751

Other identifiers 1

IdentifierTypeStateIssuer
Q030402MedicaidTN

Other names 1

  • Vanessa M Gilley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7471TNMDMental Health Counselor
849TNMDFoot Surgery Podiatrist
0000007471TNMDPhysical Therapist
0849TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Star Physical Therapy LP Physical Therapist PastSince Oct 17, 2021 Accepting new patients
Star Physical Therapy LP PastSince Oct 17, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1396959748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 TANNER WAY STE 140",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488331",
            "telephone_number": "865-376-6566",
            "fax_number": "865-376-6806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Larry Neil Way",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376606368",
            "country_code": "US",
            "telephone_number": "423-282-9570",
            "fax_number": "423-282-9570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 W Stone Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603220",
            "country_code": "US",
            "telephone_number": "423-224-5751",
            "fax_number": "423-224-5776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNE",
        "first_name": "VANESSA",
        "middle_name": "M",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "0000007471",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "0849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q030402",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "GILLEY",
            "middle_name": "M",
            "credential": "PT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harriman, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.