Plateau Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PLATEAU PHYSICAL THERAPY INC

Practice address

707 S Main St
Crossville, TN 38555

Phone

(931) 456-1818

Fax

(931) 456-4458

NPI assigned

Mar 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark Burris

Title

Administrator

Phone

(931) 456-1818

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sue W Burris, PT

  • Physical Therapist
  • Crossville, TN
  • NPI 1891906988
  NPD (past)
• Lisa D Nail, PTA

  • Physical Therapy Assistant
  • Crossville, TN
  • NPI 1609012467
  NPD (past)
• Lindsey D Wilson, DPT

  • Physical Therapist
  • Crossville, TN
  • NPI 1063623155
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508833914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38555",
            "telephone_number": "931-456-1818",
            "fax_number": "931-456-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38555",
            "telephone_number": "931-456-1818",
            "fax_number": "931-456-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATEAU PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "931-456-1818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3114063",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Wilson Pitts, MD
• Plateau Family Dentistry
• Plateau Medical Group PC
• Plateau Medical Specialist PLLC (Steven Pribanich, M.D.)
• Plateau Pediatrics, PLC
• Plateau Pulmonology LLC
• Plateau Surgery Center
• Barima Poku, MD
• Kaitlyn Powell, RN
• Kerri M Powell, CPNP

• Physical Therapist in Crossville, TN
• Providers in Crossville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.