Individual provider Active NPI

Laura Weisberg, PT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1477504074
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5995 Issued in TN
Practice address
465 N Park 40 Blvd
Knoxville, TN 37923-3615
Phone
(865) 357-5088
Fax
(656) 913-6178
NPI assigned
May 16, 2006
Last updated
May 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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 5995 TN Primary

Addresses

Primary practice location

465 N Park 40 Blvd
Knoxville, TN 37923-3615

Mailing address

465 N Park 40 Blvd
Knoxville, TN 37923-3615
Phone (865) 357-5088

Other identifiers 1

IdentifierTypeStateIssuer
103L656569MedicaidTN

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
5995TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Physical Therapy,LLC CurrentSince Nov 8, 2010 Accepting new patients
Knox Physical Therapy, LLC Physical Therapist CurrentSince Apr 8, 2024 Accepting new patients
Familycare Specialists PC Past Accepting new patients
Hovis Orthopaedic Clinic PC Past Accepting new patients
Orthotennessee, PC Past Accepting new patients
Nuber Chiropractic LLC PastSince Oct 21, 2025 Accepting new patients
Covenant Medical Group, Inc Past Accepting new patients
Tennessee Sports Medicine Group Physical Therapist Past Accepting new patients

Locations

465 N Park 40 Blvd
Knoxville, TN 37923
Phone (865) 357-5088

709 S Concord St
Knoxville, TN 37919
Phone (865) 637-2321

7811 Oak Ridge Hwy
Ste 3
Knoxville, TN 37931
Phone (865) 313-2445

9215 Middlebrook Pike
Ste 400
Knoxville, TN 37931
Phone (865) 357-5088

Organizations & group practices 8

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1477504074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N PARK 40 BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233615",
            "telephone_number": "865-357-5088",
            "fax_number": "656-913-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N PARK 40 BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233615",
            "telephone_number": "865-357-5088",
            "fax_number": "656-913-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBERG",
        "first_name": "LAURA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103L656569",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.