Emily Moucha, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16566 Issued in TN

Practice address

2250 Broadway Dr Ste B
Bean Station, TN 37708-2015

Phone

(865) 935-8111

Fax

(423) 822-5767

NPI assigned

Nov 19, 2025

Last updated

Feb 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jordan C BlackGroup PAC ID 5890117469, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jordan C Black

  dba Tristar Physical Therapy

  • Physical Therapist
  • Morristown, TN
  • NPI 1528569316
  Medicare reassignment Care Compare group NPD
• Tristar Physical Therapy LLC

  • Physical Therapist
  • Morristown, TN
  • NPI 1770116485
  NPD

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1639030745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W MORRIS BLVD STE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132237",
            "telephone_number": "423-375-8907",
            "fax_number": "423-822-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 BROADWAY DR STE B",
            "city": "BEAN STATION",
            "state": "TN",
            "postal_code": "377082015",
            "telephone_number": "865-935-8111",
            "fax_number": "423-822-5767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Hamilton Pl",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376047920",
            "country_code": "US",
            "telephone_number": "423-804-1020",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Hedrick Dr",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "TN",
            "postal_code": "378212930",
            "country_code": "US",
            "telephone_number": "423-438-1124",
            "fax_number": "423-244-0279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Hampshire Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378013525",
            "country_code": "US",
            "telephone_number": "865-518-6791",
            "fax_number": "865-518-6794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 E Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377602810",
            "country_code": "US",
            "telephone_number": "865-375-0880",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 W Morris Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378132237",
            "country_code": "US",
            "telephone_number": "423-375-8907",
            "fax_number": "423-822-5514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N Broad St",
            "address_purpose": "LOCATION",
            "city": "New Tazewell",
            "state": "TN",
            "postal_code": "378256606",
            "country_code": "US",
            "telephone_number": "423-381-8813",
            "fax_number": "423-254-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W Main St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572448",
            "country_code": "US",
            "telephone_number": "423-500-5600",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUCHA",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Ray Martin
• Stephen Paul Mayo, DDS
• Neil E McCoy, DC
• Ashley McKinney, ANP
• Christina Michelle Merritt
• Claude E Moyers
• Lani Rinehardt, OTR/L, OTD
• Courtney Russell
• Miranda C Russell, LMHSP, LPC
• Latasha M Seal, NP

• Physical Therapist in Bean Station, TN
• Providers in Bean Station, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.