Physical Therapy Specialists, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5916 Issued in TN

Legal business name

PHYSICAL THERAPY SPECIALISTS, PLLC

Practice address

6 Boles Dr
Johnson City, TN 37604-3366

Phone

(423) 202-2438

NPI assigned

Jun 16, 2009

Organization subpart

No

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

Authorized official

Name

Michael P Foley, PHD,PT

Title

President

Phone

(423) 202-2438

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1437386604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BOLES DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-202-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BOLES DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043366",
            "telephone_number": "423-202-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-202-2438",
        "authorized_official_credential": "PHD,PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Alan Phelps, RPH
• Brandon Michael Phillips
• Jacob Elizabeth Phillips, BSW
• Olivia Blake Phillips
• Angela Phipps
• Jose E Picaza, M.D.
• Courtney Pickel, PT
• Ivan Lionel Pickle Jr., LPN
• Andrew S Pierce, MD
• Brandon Nathaniel Pierce, CPHT

• Physical Therapist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.