Active NPI
Steven D Elliott, PT
- Physical Therapist
- Athens, TN
National Provider Identifier
1487753109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7609
- Practice address
- 311 Congress Pkwy N
Suite 800
Athens, TN 37303-1699 - Phone
- (423) 744-0890
- Fax
- (423) 744-0849
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- 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 | PT7609 | TN | Primary |
Addresses
Primary practice location
311 Congress Pkwy N
Suite 800
Athens, TN 37303-1699
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446652 | Medicaid | TN | |
| 3156797 | Other | TN | BCBS GROUP NUMBER |
| 5441371 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Washington University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
970 E Emory Rd
Knoxville, TN 37938-4617
Phone (865) 948-6622
980 E Emory Rd
Knoxville, TN 37938-4617
Phone (865) 947-6623
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7609 | TN | MD | Physical Therapist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Rehabilitation Occupational Therapist
- Knoxville, TN
- NPI 1639681877
-
- Physical Therapist
- Knoxville, TN
- NPI 1588097034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1487753109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 CONGRESS PKWY N",
"address_2": "SUITE 800",
"city": "ATHENS",
"state": "TN",
"postal_code": "373031699",
"telephone_number": "423-744-0890",
"fax_number": "423-744-0849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "STEVEN",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT7609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446652",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "3156797",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5441371",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.