Active NPI
Physical Therapy Specialists PC
- Physical Therapist
- Knoxville, TN
National Provider Identifier
1689633000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PHYSICAL THERAPY SPECIALISTS PC
- Practice address
- 6700 Baum Dr
Ste 19
Knoxville, TN 37919-7334 - Phone
- (865) 588-4108
- Fax
- (865) 474-1521
- NPI assigned
- Mar 23, 2006
- 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
- Mr. Eric Rockwell
- Title
- Owner/Vice Pres
- Phone
- (865) 588-4108
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TN | ||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
6700 Baum Dr
Ste 19
Knoxville, TN 37919-7334
Mailing address
6700 Baum Dr
Ste 19
Knoxville, TN 37919-7334
Phone (865) 588-4108
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050291 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3654677 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
6700 Baum Dr
Ste 19
Knoxville, TN 37919
Phone (865) 588-4108
417 Erin Dr
Knoxville, TN 37919
Phone (865) 588-1028
417 Erin Dr
Ste E
Knoxville, TN 37919
Phone (615) 588-4108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555372800000",
"number": "1689633000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 BAUM DR",
"address_2": "STE 19",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379197334",
"telephone_number": "865-588-4108",
"fax_number": "865-474-1521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 BAUM DR",
"address_2": "STE 19",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379197334",
"telephone_number": "865-588-4108",
"fax_number": "865-474-1521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY SPECIALISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2019-04-16",
"status": "A",
"authorized_official_last_name": "ROCKWELL",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER/VICE PRES",
"authorized_official_telephone_number": "865-588-4108",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0050291",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3654677",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.