Active NPI
A Moving Experience Inc
- Physical Therapist
- Maryville, TN
National Provider Identifier
1447362041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5944
- Legal business name
- A MOVING EXPERIENCE INC
- Practice address
- 2140 Colonial Cir
Maryville, TN 37803-2676 - Phone
- (865) 384-5593
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura Horvath Gagnon
- Title
- President
- Phone
- (865) 384-5593
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5944 | TN | Primary |
Addresses
Primary practice location
2140 Colonial Cir
Maryville, TN 37803-2676
Mailing address
2140 Colonial Cir
Maryville, TN 37803-2676
Phone (865) 384-5593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3028 Old Niles Ferry Rd
Maryville, TN 37803
Phone (865) 233-5096
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Maryville, TN
- NPI 1164474706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1447362041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 COLONIAL CIR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378032676",
"telephone_number": "865-384-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 COLONIAL CIR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378032676",
"telephone_number": "865-384-5593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A MOVING EXPERIENCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GAGNON",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "HORVATH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "865-384-5593",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "5944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.