Olympic Physical Therapy

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5424 Issued in TN

Legal business name

OLYMPIC PHYSICAL THERAPY

Practice address

1750 Linda LN
Maryville, TN 37803-5536

Phone

(865) 200-3093

NPI assigned

Jun 11, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Gravatt, PTANPI 1669964672

Title

Owner

Phone

(865) 200-3093

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kathleen Gravatt, PTA

  • Physical Therapy Assistant
  • Maryville, TN
  • NPI 1669964672
  NPD (past) Authorized official

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1467945774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 LINDA LN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035536",
            "telephone_number": "865-200-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 LINDA LN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035536",
            "telephone_number": "865-200-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "GRAVATT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-200-3093",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "5424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Danielle Ogle
• Babajide Ogunyombo, NP
• Kenneth W Olander, M.D.
• Michael Lee Oldham
• Nancy J Olsen, LCSW
• Lindsay Omeirs, LMFT
• Sharon Ondrusek
• One Energy
• Molly Oosthuysen, FNP-BC
• Open Hearts Open Arms

• Physical Therapy Assistant in Maryville, TN
• Providers in Maryville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.