Individual provider Active NPI

Daniel Kibler, DO

  • Physical Medicine & Rehabilitation Physician
  • Knoxville, TN
National Provider Identifier
1639631252
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5817 Issued in TN
Practice address
101 Ft Sanders W Blvd
Knoxville, TN 37922-3342
Phone
(615) 598-4663
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5817 TN Primary

Addresses

Primary practice location

101 Ft Sanders W Blvd
Knoxville, TN 37922-3342

Mailing address

PO Box 10005
Knoxville, TN 37939-0005
Phone (615) 598-4663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241115000265 TN Practitioner - Physical Medicine and Rehabilitation 7618342825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5817TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DRK Rehabilitation PLLC Physical Medicine & Rehabilitation CurrentSince Aug 6, 2024 Accepting new patients

Locations

101 Fort Sanders West Blvd
Knoxville, TN 37922
Phone (720) 308-7319

Organizations & group practices 1

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1639631252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10005",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379390005",
            "telephone_number": "615-598-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FT SANDERS W BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223342",
            "telephone_number": "615-598-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBLER",
        "first_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "5817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.