Zachary Hunter Ervin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11361 Issued in TN

Practice address

875 Larry Neil Way
Kingsport, TN 37660-6368

Phone

(423) 282-9570

Fax

(423) 282-9572

NPI assigned

Nov 14, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Watauga Orthopaedics PLC

  • Orthopaedic Surgery Physician
  • Johnson City, TN
  • NPI 1245251404

  Physical Therapist

  NPD
• Watauga Orthopaedics, PLC

  • Durable Medical Equipment & Medical Supplies
  • Greeneville, TN
  • NPI 1730924192

  Physical Therapist

  NPD

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1659840189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 WOOD CT",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632769",
            "telephone_number": "423-782-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 LARRY NEIL WAY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376606368",
            "telephone_number": "423-282-9570",
            "fax_number": "423-282-9572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Steeles Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376209532",
            "country_code": "US",
            "telephone_number": "423-282-9011",
            "fax_number": "423-282-0035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 W Stone Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603220",
            "country_code": "US",
            "telephone_number": "423-224-5751",
            "fax_number": "423-224-5776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2410 Susannah St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376011748",
            "country_code": "US",
            "telephone_number": "423-282-9011",
            "fax_number": "423-282-0035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "ZACHARY",
        "middle_name": "HUNTER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-14",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11361",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Encompass Health Rehabilitation Hospital of Kingsport LLC
• Endoscopy Center of Kingsport
• Warren Edward English, M.D.
• Neva Gail Ennis, RN
• Wendy Ervin, PHARM.D
• Patricia Erwin, FNP
• Michelle R Estes, MD
• Etlog Management Service
• Ashley S Evans, LPC
• Glenn Michael Evans, RN/SRNA

• Physical Therapist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.