Active NPI
Laura Weisberg, PT
- Physical Therapist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5995
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103L656569 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5995 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forward Physical Therapy,LLC | Current | Accepting new patients | |
| Knox Physical Therapy, LLC | Physical Therapist | Current | 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 | Past | 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.
-
- Physical Therapy Clinic/Center
- Knoxville, TN
- NPI 1114229226
-
dba Knoxville Physical Therapy
- Physical Therapist
- Knoxville, TN
- NPI 1578079372
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1881636488
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1033447008
-
- Orthopaedic Surgery Physician
- Knoxville, TN
- NPI 1053392043
-
- Physical Therapist
- Knoxville, TN
- NPI 1992947527
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.