Individual provider Active NPI

James Duncan, PT

  • Physical Therapist
  • Johnson City, TN
National Provider Identifier
1548486293
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000004299 Issued in TN
Practice address
2428 Knob Creek Rd
Suite 201
Johnson City, TN 37604-2397
Phone
(423) 262-4485
Fax
(423) 262-4489
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0000004299 TN Primary

Addresses

Primary practice location

2428 Knob Creek Rd
Suite 201
Johnson City, TN 37604-2397

Mailing address

2428 Knob Creek Rd
Johnson City, TN 37604-2397
Phone (423) 262-4485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230811001840 SC Practitioner - Physical Therapist in Private Practice 4284717091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
89.43
Improvement activities
40
Cost
74.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10404SCMDClinical Social Worker
PT0000004299TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Watauga Orthopaedics PLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33299 Collection Ctr Dr
Chicago, IL 60693

325 Folly Rd
Ste 107
Charleston, SC 29412
Phone (843) 762-0147

1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495

5400 International Blvd
Bldg 8821
Charleston, SC 29418
Phone (843) 763-4115

900 Island Park Dr
Ste 108
Daniel Island, SC 29492
Phone (843) 284-5285

116 Foxbank Plantation Blvd
Ste E
Moncks Corner, SC 29461
Phone (843) 761-4622

405 Faison Rd
Ste 105
Mount Pleasant, SC 29466
Phone (843) 352-2935

180 Wingo Way
Ste 303
Mt Pleasant, SC 29464
Phone (843) 972-0940

1909 N Highway 17
Ste Q
Mt Pleasant, SC 29464
Phone (843) 416-9026

586 Lone Tree Dr
Mt Pleasant, SC 29464
Phone (843) 884-7880

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

2070 Northbrook Blvd
Ste A9
North Charleston, SC 29406
Phone (843) 377-0268

5401 Netherby Ln
Ste 300
North Charleston, SC 29420
Phone (843) 225-5211

8950 University Blvd
Ste 200A
North Charleston, SC 29406
Phone (843) 414-1140

330 E 5th North St
Ste De
Summerville, SC 29483
Phone (843) 695-0326

606 Nexton Square Dr
Ste 304
Summerville, SC 29486
Phone (843) 376-5963

1718 State Rd
Ste 7D
Summerville, SC 29486
Phone (843) 303-9418

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1548486293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 KNOB CREEK RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042397",
            "telephone_number": "423-262-4485",
            "fax_number": "423-262-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 KNOB CREEK RD",
            "address_2": "SUITE 201",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042397",
            "telephone_number": "423-262-4485",
            "fax_number": "423-262-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000004299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.