Organization Active NPI

Physical Therapy Specialists PC

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1689633000
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Apr 16, 2019

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X TN
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0050291OtherTNBLUE CROSS BLUE SHIELD
3654677MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.