Agilitas USA, Inc.
Organization Active NPI Physical Therapy Clinic/Center · Kingsport, TN
NPI 1629344130 · NPPES record last updated Mar 29, 2012
Key facts
- NPI
- 1629344130
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- AGILITAS USA, INC.
- Practice address
- 444 Clinchfield
Suite 102
Kingsport, TN 37660 - Phone
- (615) 373-1350
- Fax
- (615) 221-9054
- NPI assigned
- Mar 29, 2012
- Organization subpart
- No
Authorized official
- Name
- Kimberly Carson Russell
- Title
- Credentialing Manager
- Phone
- (615) 373-1350
Other NPIs on the same Medicare enrollment 19
Practitioners 4
-
David Davenport, PT
-
Nicole Huffman, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041115000337 | TN | Part B Supplier - Clinic/Group Practice | 3375454648 |
Receives reassigned benefits from 623 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
444 Clinchfield St
Ste 102
Kingsport, TN 37660
Phone (423) 212-5966
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
444 Clinchfield
Suite 102
Kingsport, TN 37660
Mailing address
2001 Mallory LN
Suite 201
Franklin, TN 37067-8233
Phone (615) 373-1350
Other names
- Results Physiotherapy
Other providers in Kingsport, TN
- Advanced Home Care Inc
- Advanced Home Care, Inc.
- Advanced Therapy of Kingsport
- Agilitas USA, Inc
- Agilitas USA, Inc
- Abrar Ahmad
- Manal Ahmad
- Summer Ahmed
- Ahp of East Tennessee PLLC
- Robert Bryce Ailshie
All providers in Kingsport, TN · Physical Therapy Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.