Organization Active NPI

Larry Reed Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Morristown, TN
National Provider Identifier
1679244123
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LARRY REED PHYSICAL THERAPY, LLC
Practice address
1751 W Morris Blvd Ste 1
Morristown, TN 37813-3870
Phone
(423) 839-0423
Fax
(423) 839-0423
NPI assigned
Sep 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Authorized official

Name
Larry Reed, P.T.NPI 1003413006
Title
Member
Phone
(865) 934-8581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1751 W Morris Blvd Ste 1
Morristown, TN 37813-3870

Mailing address

4923 Owl Hole Gap Rd
Rutledge, TN 37861-4447
Phone (865) 934-8581

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220323002772 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2163816323 Receives reassigned benefits from 1 practitioner
Practice locations: Morristown, TN

National Provider Directory

National Provider Directory

Locations

1751 W Morris Blvd
Ste 1
Morristown, TN 37813
Phone (423) 839-0423

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644019200000",
    "number": "1679244123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 OWL HOLE GAP RD",
            "city": "RUTLEDGE",
            "state": "TN",
            "postal_code": "378614447",
            "telephone_number": "865-934-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 W MORRIS BLVD STE 1",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133870",
            "telephone_number": "423-839-0423",
            "fax_number": "423-839-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY REED PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "865-934-8581",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.