Individual provider Active NPI

Dana Leann Byrge, PTA

  • Physical Therapy Assistant
  • Knoxville, TN
National Provider Identifier
1639600521
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3945 Issued in TN
Practice address
3916 Boyd's Bridge Pike
NHC
Knoxville, TN 37914
Phone
(865) 524-1500
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3945 TN Primary

Addresses

Primary practice location

3916 Boyd's Bridge Pike
NHC
Knoxville, TN 37914

Mailing address

5017 Cattail LN
Corryton, TN 37721
Phone (865) 223-2091

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3945TNMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1639600521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 CATTAIL LN",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "37721",
            "telephone_number": "865-223-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 BOYD'S BRIDGE PIKE",
            "address_2": "NHC",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37914",
            "telephone_number": "865-524-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRGE",
        "first_name": "DANA",
        "middle_name": "LEANN",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "3945",
            "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 Mar 23, 2017; 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.