Susan Marie Daugherty, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6921 Issued in TN

Practice address

631 N Campbell Station Rd
Suite 1600
Knoxville, TN 37934-1628

Phone

(865) 777-0367

Fax

(865) 777-0562

NPI assigned

Jun 2, 2006

Last updated

May 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Susan Marie Wehrle Former name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Max Potential Rehab LLCGroup PAC ID 3274767124, 6 clinicians

Max Kids Physical Therapy LLCGroup PAC ID 7214292366, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Max Kids Physical Therapy, LLC

  • Physical Rehabilitation Occupational Therapist
  • Knoxville, TN
  • NPI 1639681877

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Max Potential Rehab, LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1588097034
  Medicare reassignment Care Compare group NPD
• Independent Physical Therapy, LLC

  dba BenchMark Physical Therapy

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1104878354
  Medicare reassignment NPD
• Max Potential Bearden, LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1457816043
  Medicare reassignment NPD
• Max Potential Farragut, LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1164975702
  Medicare reassignment NPD
• Independent Physical Therapy

  dba BenchMark

  • Physical Therapist
  • Knoxville, TN
  • NPI 1821342353
  NPD

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1518905850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY",
            "address_2": "STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "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": "631 N CAMPBELL STATION RD",
            "address_2": "SUITE 1600",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341628",
            "telephone_number": "865-777-0367",
            "fax_number": "865-777-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT6921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441711",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST - GROUP NUMBER",
            "identifier": "3156797",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446652",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WEHRLE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mona Anne Dasgupta, DO
• Anisha Dash, MD
• Chelsea Daugherty, M.S. CCC-SLP
• Karli Daugherty
• Katie Daugherty
• Vickie M Daugherty, LCSW
• Ardy Davarifar, MD/PHD
• Celeste Osinski Davenport
• David Davenport, PT
• Jeannette Marie Davenport

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.

Verify at the official NPI Registry.