Micah Daniel Reppuhn, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13028 Issued in TN

Practice address

501 Adesa Blvd Ste A140
Lenoir City, TN 37771-6720

Phone

(865) 333-1461

NPI assigned

Sep 14, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Tennessee Spine and Sport IncGroup PAC ID 8820013139, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• East Tennessee Spine & Sport Inc

  • Physical Therapist
  • Knoxville, TN
  • NPI 1023101144
  Medicare reassignment Care Compare group NPD
• Independent Physical Therapy, LLC

  dba BenchMark Physical Therapy

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1104878354
  NPD (past)

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1629683974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 LUTTRELL ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379176630",
            "telephone_number": "865-964-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ADESA BLVD STE A140",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377716720",
            "telephone_number": "865-333-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPPUHN",
        "first_name": "MICAH",
        "middle_name": "DANIEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "13028",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehabcare
• Kenneth Burkhardt Rehder, D.D.S.
• Julia Reimold, OD
• Randall Reno
• Louis I Reper II, DPM
• Resource Anesthesia East Tennessee (Resource Anesthesia PC)
• Resource Anesthesia Lakeway Inc
• Resource Anesthesia, P.C.
• Melissa Richards
• Molly Kate Isabella Richards

• Physical Therapist in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.