Individual provider Active NPI

John Duty, DPT

  • Physical Therapist
  • Jefferson City, TN
National Provider Identifier
1568075794
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
646 E Broadway Blvd
Jefferson City, TN 37760-4900
Phone
(865) 471-6890
NPI assigned
Aug 27, 2020
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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 NU Primary

Addresses

Primary practice location

646 E Broadway Blvd
Jefferson City, TN 37760-4900

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-8923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201001001573 TN Practitioner - Physical Therapist in Private Practice 8921427550 Reassigns benefits to 2 organizations
I20240508003900 NC Practitioner - Physical Therapist in Private Practice 8921427550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physical Therapy, LLCGroup PAC ID 0840583407, 20 clinicians

Practice addresses (Care Compare)

1256 Hendersonville Rd
Asheville, NC 28803-1905
Phone (828) 274-2188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc CurrentSince Jan 9, 2024 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Aug 10, 2020 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jan 9, 2024 Accepting new patients
Southeastern Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Aug 10, 2020 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients
Henderson County Hospital Corporation PastSince Apr 1, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1256 Hendersonville Rd
Asheville, NC 28803
Phone (828) 412-5330

19 Westridge Market Pl
Candler, NC 28715
Phone (828) 274-2188

33 Valley View Ter
Waynesville, NC 28786
Phone (828) 246-6566

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

646 E Broadway Blvd
Jefferson City, TN 37760
Phone (865) 471-6890

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1568075794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 E BROADWAY BLVD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604900",
            "telephone_number": "865-471-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTY",
        "first_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.