Active NPI
Allison Detig, DPT
- Physical Therapist
- Lenoir City, TN
National Provider Identifier
1669907853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11620
- Practice address
- 501 Adesa Blvd
Lenoir City, TN 37771-6725 - Phone
- (865) 988-7610
- Fax
- (865) 988-6636
- NPI assigned
- Apr 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05012542A | IN | |
| Physical Therapist | 225100000X | 11620 | TN | Primary |
Addresses
Primary practice location
501 Adesa Blvd
Lenoir City, TN 37771-6725
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8930
Other practice location 1
1114 E Commercial Ave
Lowell, IN 46356-2359
Phone (219) 690-1048
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669907853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-8930",
"fax_number": "423-524-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 ADESA BLVD",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377716725",
"telephone_number": "865-988-7610",
"fax_number": "865-988-6636"
}
],
"practiceLocations": [
{
"address_1": "1114 E Commercial Ave",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "IN",
"postal_code": "463562359",
"country_code": "US",
"telephone_number": "219-690-1048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DETIG",
"first_name": "ALLISON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05012542A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "11620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenoir City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.