Individual provider Active NPI

Eric Scott Jones

  • Physical Therapist
  • Sevierville, TN
National Provider Identifier
1588834295
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00000007105 Issued in TN
Practice address
1024 Middle Creek Rd
Suite 2
Sevierville, TN 37862-6921
Phone
(865) 453-9022
Fax
(865) 453-9177
NPI assigned
Mar 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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 PT00000007105 TN Primary

Addresses

Primary practice location

1024 Middle Creek Rd
Suite 2
Sevierville, TN 37862-6921

Mailing address

612 Emerald Ave
Seymour, TN 37865-3452
Phone (865) 293-2572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00000007105TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Health Center, Inc. Physical Therapist CurrentSince Jan 3, 2019 Accepting new patients
Oak Street Health Physicians Group, PC Past Accepting new patients

Locations

102 E Commerce Ct
Jefferson Cty, TN 37760
Phone (865) 475-3101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1588834295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 EMERALD AVE",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378653452",
            "telephone_number": "865-293-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MIDDLE CREEK RD",
            "address_2": "SUITE 2",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626921",
            "telephone_number": "865-453-9022",
            "fax_number": "865-453-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ERIC",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT00000007105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.