NPIMap

Organization Active NPI

Knox Physical Therapy, LLC

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1578079372
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11171 Issued in TN
Legal business name
KNOX PHYSICAL THERAPY, LLC
Practice address
7811 Oak Ridge Hwy Ste 3
Knoxville, TN 37931-2345
Phone
(865) 804-8921
NPI assigned
Dec 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Dr. Joseph Lee Easley III, DPTNPI 1346780350
Title
Owner
Phone
(865) 804-8921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 11171 TN Primary

Addresses

Primary practice location

7811 Oak Ridge Hwy Ste 3
Knoxville, TN 37931-2345

Mailing address

7811 Oak Ridge Hwy Ste 3
Knoxville, TN 37931-2345
Phone (865) 313-2445

Other practice location 1

709 S Concord St
Knoxville, TN 37919-3309
Phone (865) 637-2321

Other practice location 2

465 N Park 40 Blvd
Knoxville, TN 37923-3615
Phone (865) 357-5088

Other names 1

  • Knoxville Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180615000832 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072868090 Receives reassigned benefits from 15 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

10541 Kingston Pike
Ste A
Knoxville, TN 37922
Phone (865) 313-2445

7811 Oak Ridge Hwy
Ste 3
Knoxville, TN 37931
Phone (865) 313-2445

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1513468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1578079372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 OAK RIDGE HWY STE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379312345",
            "telephone_number": "865-313-2445",
            "fax_number": "865-313-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 OAK RIDGE HWY STE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379312345",
            "telephone_number": "865-804-8921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 S Concord St",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379193309",
            "country_code": "US",
            "telephone_number": "865-637-2321",
            "fax_number": "865-637-4664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "465 N Park 40 Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379233615",
            "country_code": "US",
            "telephone_number": "865-357-5088",
            "fax_number": "865-357-5087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KNOX PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-17",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-804-8921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knoxville Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.