Individual provider Active NPI

Matt Oakes

  • Physical Therapist
  • Seymour, TN
National Provider Identifier
1578201042
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14182 Issued in TN
Practice address
11560 Chapman Hwy Ste 1
Seymour, TN 37865-5387
Phone
(865) 579-3322
NPI assigned
May 25, 2022
Last updated
May 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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 14182 TN Primary

Addresses

Primary practice location

11560 Chapman Hwy Ste 1
Seymour, TN 37865-5387

Mailing address

1103 Village Dr
Sevierville, TN 37862-5029
Phone (865) 908-7041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220728001819 TN Practitioner - Physical Therapist in Private Practice 2567844137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11560 Chapman Hwy
Suite 1
Seymour, TN 37865-5044
Phone (865) 579-3322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14182TNMDPhysical Therapist
14282TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Therapy Services of East Tennessee Physical Therapist CurrentSince May 24, 2022 Accepting new patients
Pro Therapy Services of East Tennessee, Inc Physical Therapist CurrentSince May 24, 2022 Accepting new patients

Locations

205 Milestone Cmns
Ste 4
Dandridge, TN 37725
Phone (865) 350-6570

1235 E Parkway
Ste 5
Gatlinburg, TN 37738
Phone (865) 436-6767

1103 Village Dr
Sevierville, TN 37862
Phone (865) 908-3261

11560 Chapman Hwy
Ste 1
Seymour, TN 37865
Phone (865) 577-1914

Organizations & group practices 2

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": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1578201042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625029",
            "telephone_number": "865-908-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 CHAPMAN HWY STE 1",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655387",
            "telephone_number": "865-579-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKES",
        "first_name": "MATT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.