Active NPI
Thomas Richard Ingle II
- Physical Therapist
- Sevierville, TN
National Provider Identifier
1518028653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6429
- Practice address
- 1103 Village Drive
Sevierville, TN 37862 - Phone
- (865) 908-3261
- Fax
- (865) 908-7043
- NPI assigned
- Dec 13, 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 | 6429 | TN | Primary |
Addresses
Primary practice location
1103 Village Drive
Sevierville, TN 37862
Mailing address
1103 Village Drive
Sevierville, TN 37862
Phone (865) 908-3261
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
- East Tennessee State University Quillen College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7333 Chapman Hwy
Knoxville, TN 37920-6681
Phone (865) 862-3823
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6429 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Summit Medical Group, PLLC | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
7333 Chapman Hwy
Knoxville, TN 37920
Phone (865) 862-3823
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518028653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 VILLAGE DRIVE",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "37862",
"telephone_number": "865-908-3261",
"fax_number": "865-908-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 VILLAGE DRIVE",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "37862",
"telephone_number": "865-908-3261",
"fax_number": "865-908-7043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGLE",
"first_name": "THOMAS",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "6429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sevierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.