Individual provider Active NPI

Kalie Rae Heftka, DPT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1639691041
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7811 Oak Ridge Hwy Ste 3
Knoxville, TN 37931-2345
Phone
(865) 313-2445
Fax
(865) 313-2455
NPI assigned
Jul 7, 2017
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

7811 Oak Ridge Hwy Ste 3
Knoxville, TN 37931-2345

Mailing address

7811 Oak Ridge Hwy Ste 3
Knoxville, TN 37931-2345
Phone (423) 497-2670

Other practice location 1

465 N Park 40 Blvd
Knoxville, TN 37923-3615
Phone (865) 357-5088

Other practice location 2

709 S Concord St
Knoxville, TN 37919-3309
Phone (865) 637-2321

Other names 1

  • Kalie Rae Reams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170918001305 TN Practitioner - Physical Therapist in Private Practice 9335413129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Knox Physical Therapy, LLCGroup PAC ID 3072868090, 14 clinicians

Practice addresses (Care Compare)

7811 Oak Ridge Hwy
Suite 3
Knoxville, TN 37931-2345
Phone (865) 804-8921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Physical Therapy, LLC Physical Therapist CurrentSince Aug 22, 2024 Accepting new patients
Forward Physical Therapy,LLC PastSince Aug 18, 2019 Accepting new patients

Locations

465 N Park 40 Blvd
Knoxville, TN 37923
Phone (865) 357-5088

709 S Concord St
Knoxville, TN 37919
Phone (865) 637-2321

7811 Oak Ridge Hwy
Ste 3
Knoxville, TN 37931
Phone (865) 313-2445

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1639691041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 OAK RIDGE HWY STE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379312345",
            "telephone_number": "423-497-2670",
            "fax_number": "423-419-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 OAK RIDGE HWY STE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379312345",
            "telephone_number": "865-313-2445",
            "fax_number": "865-313-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 N Park 40 Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379233615",
            "country_code": "US",
            "telephone_number": "865-357-5088",
            "fax_number": "865-691-3617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 S Concord St",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379193309",
            "country_code": "US",
            "telephone_number": "865-637-2321",
            "fax_number": "865-637-4664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEFTKA",
        "first_name": "KALIE",
        "middle_name": "RAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALIE",
            "last_name": "REAMS",
            "middle_name": "RAE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 6, 2024; 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.