NPIMap

Organization Active NPI

Physical Therapy of Tellico, LLC

  • Physical Therapist
  • Tellico Plains, TN
National Provider Identifier
1689614075
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000004777 Issued in TN
Legal business name
PHYSICAL THERAPY OF TELLICO, LLC
Practice address
8805 New Highway 68
Unit 1
Tellico Plains, TN 37385-5347
Phone
(423) 253-6522
Fax
(423) 253-3664
NPI assigned
Jun 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Nicole Marie Cresswell, MSPTNPI 1922048347
Title
Owner
Phone
(423) 253-6522

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 Therapist 225100000X PT0000004777 TN Primary

Addresses

Primary practice location

8805 New Highway 68
Unit 1
Tellico Plains, TN 37385-5347

Mailing address

PO Box 483
Tellico Plains, TN 37385-0483
Phone (423) 253-6522

National Provider Directory

National Provider Directory

Locations

8805 New Highway 68
Unit 1
Tellico Plains, TN 37385
Phone (423) 253-3300

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689614075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "TELLICO PLAINS",
            "state": "TN",
            "postal_code": "373850483",
            "telephone_number": "423-253-6522",
            "fax_number": "423-253-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 NEW HIGHWAY 68",
            "address_2": "UNIT 1",
            "city": "TELLICO PLAINS",
            "state": "TN",
            "postal_code": "373855347",
            "telephone_number": "423-253-6522",
            "fax_number": "423-253-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF TELLICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRESSWELL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-253-6522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000004777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tellico Plains, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.