Active NPI
Dominic Worsowicz, PT
- Physical Therapist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16324
- Practice address
- 4512 Chapman Hwy
Knoxville, TN 37920-4359 - Phone
- (865) 577-7779
- NPI assigned
- Jul 11, 2016
- Last updated
- Apr 8, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16324 | TN | Primary |
| Physical Therapist | 225100000X | PT31291 | FL |
Addresses
Primary practice location
4512 Chapman Hwy
Knoxville, TN 37920-4359
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
1325 San Marco Blvd Ste 102
Jacksonville, FL 32207-8549
Phone (904) 858-7045
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
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 N Charles G Seivers Blvd
Suite a
Clinton, TN 37716-3936
Phone (865) 457-0192
2838 Appalachian Hwy
Suite 2
Jacksboro, TN 37757-2829
Phone (423) 566-2356
5220 Park Ave
Suite 201
Memphis, TN 38119-3549
Phone (901) 683-9630
9305 S Northshore Dr
Knoxville, TN 37922-6548
Phone (865) 769-5278
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16324 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Results-Ast JV, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Jacksonville Orthopaedic Institute Inc | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444
4512 Chapman Hwy
Knoxville, TN 37920
Phone (865) 277-7779
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080
Organizations & group practices 4
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.
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
Physical Therapist
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1518695436
Physical Therapist
-
- Physical Therapist
- Fernandina Beach, FL
- NPI 1942660212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1497107858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4512 CHAPMAN HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379204359",
"telephone_number": "865-577-7779"
}
],
"practiceLocations": [
{
"address_1": "1325 San Marco Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322078549",
"country_code": "US",
"telephone_number": "904-858-7045",
"fax_number": "904-858-7047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WORSOWICZ",
"first_name": "DOMINIC",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-11",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "16324",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT31291",
"primary": false
}
],
"identifiers": [],
"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 Apr 8, 2025; 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.