Tobin Abraham, CPO, LPO
Individual provider Active NPI Prosthetist · Maryville, TN
NPI 1508733478 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1508733478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetist 224P00000X
- License
- PRO0000000276 (TN)
- Practice address
- 2022 Chilhowee Medical Park
Maryville, TN 37804-5285 - Phone
- (865) 855-9701
- Fax
- (865) 855-9702
- NPI assigned
- Oct 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ORT000000289 | TN | MD | Orthotist |
| PRO0000000276 | TN | MD | Prosthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | ORT000000289 | TN | |
| Prosthetist | 224P00000X | PRO0000000276 | TN | Yes |
Addresses
Primary practice location
2022 Chilhowee Medical Park
Maryville, TN 37804-5285
Mailing address
2022 Chilhowee Medical Park
Maryville, TN 37804-5285
Phone (865) 855-9701
Other practice location 1
1108 Fox Meadows Blvd
Sevierville, TN 37862-6939
Phone (865) 505-1950
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.