Individual provider Active NPI

Scott W. Beisner, P.T.

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1609937416
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13531 Issued in TN
Practice address
2844 Essary Dr
Knoxville, TN 37918-2401
Phone
(865) 584-1031
Fax
(865) 584-1032
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 70014874 IL
Physical Therapist 225100000X 13531 TN Primary

Addresses

Primary practice location

2844 Essary Dr
Knoxville, TN 37918-2401

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

1352 S Milwaukee Ave
Libertyville, IL 60048-3795
Phone (847) 549-1460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720000107 TN Practitioner - Physical Therapist in Private Practice 4880842525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

2844 Essary Dr
Knoxville, TN 37918-2401
Phone (865) 584-1031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14086WIMDPharmacist
70014874ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Physical Therapist Current Accepting new patients
Agilitas USA, Inc CurrentSince Jun 28, 2021 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 28, 2021 Accepting new patients

Locations

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

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

7333 Chapman Hwy
Knoxville, TN 37920
Phone (865) 862-3823

2844 Essary Dr
Knoxville, TN 37918
Phone (865) 584-1031

11130 Kingston Pike
Ste 3
Knoxville, TN 37934
Phone (865) 777-1080

1632 W Broadway Ave
Maryville, TN 37801
Phone (865) 984-1996

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

212 Railroad St
Sweetwater, TN 37874
Phone (423) 337-7897

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1609937416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 ESSARY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182401",
            "telephone_number": "865-584-1031",
            "fax_number": "865-584-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1352 S Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483795",
            "country_code": "US",
            "telephone_number": "847-549-1460",
            "fax_number": "847-549-1490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEISNER",
        "first_name": "SCOTT",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70014874",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 23, 2021; 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.