Active NPI
Additions Therapy, LLC
- Rehabilitation Clinic/Center
- Loudon, TN
National Provider Identifier
1689622300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- ADDITIONS THERAPY, LLC
- Practice address
- 1125 Grove St
Suite 120
Loudon, TN 37774-1512 - Phone
- (865) 458-8080
- NPI assigned
- May 5, 2006
- Last updated
- Feb 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly Renee Bauer, PT
- Title
- Administrator
- Phone
- (865) 643-0598
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
1125 Grove St
Suite 120
Loudon, TN 37774-1512
Mailing address
1125 Grove St
Suite 120
Loudon, TN 37774-1512
Phone (865) 458-8080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446686 | Medicaid | TN | |
| 4131139 | Other | BCBS |
National Provider Directory
National Provider DirectoryLocations
1125 Grove St
Ste 120
Loudon, TN 37774
Phone (865) 458-8080
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Physical Therapist
- Loudon, TN
- NPI 1912107129
-
- Occupational Therapist
- Loudon, TN
- NPI 1518167741
-
- Physical Therapist
- Loudon, TN
- NPI 1417182643
-
- Physical Therapist
- Loudon, TN
- NPI 1376743591
-
- Occupational Therapy Assistant
- Loudon, TN
- NPI 1790957579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329004800000",
"number": "1689622300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 GROVE ST",
"address_2": "SUITE 120",
"city": "LOUDON",
"state": "TN",
"postal_code": "377741512",
"telephone_number": "865-458-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 GROVE ST",
"address_2": "SUITE 120",
"city": "LOUDON",
"state": "TN",
"postal_code": "377741512",
"telephone_number": "865-458-8080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADDITIONS THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2012-02-12",
"status": "A",
"authorized_official_last_name": "BAUER",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "865-643-0598",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446686",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4131139",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loudon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.