Individual provider Active NPI

Manu Joseph, P.T.

  • Physical Therapist
  • Gallatin, TN
National Provider Identifier
1689948325
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8252 Issued in TN
Practice address
258 E Main St
Gallatin, TN 37066-2961
Phone
(615) 452-9686
Fax
(615) 452-9652
NPI assigned
Feb 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501014173 MI
Physical Therapist 225100000X 8252 TN Primary

Addresses

Primary practice location

258 E Main St
Gallatin, TN 37066-2961

Mailing address

258 E Main St
Gallatin, TN 37066-2961
Phone (615) 452-9686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181024001823 TN Practitioner - Physical Therapist in Private Practice 4284987074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians

Practice addresses (Care Compare)

10133 Sherrill Blvd
Suite 200
Knoxville, TN 37932-3347
Phone (888) 531-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501014173MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nulife Physical Therapy Inc. Physical Therapist CurrentSince Jul 15, 2018 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Tricare Rehabilitation Services, Inc. Physical Therapist Past Accepting new patients
Tricare Medical Supplies, Inc. Past Accepting new patients

Locations

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

421 N Broadway
Ste B
Portland, TN 37148
Phone (615) 325-9007

12124 Highway 52 W
Ste D
Westmoreland, TN 37186
Phone (615) 639-0901

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1689948325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 E MAIN ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662961",
            "telephone_number": "615-452-9686",
            "fax_number": "615-452-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 E MAIN ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662961",
            "telephone_number": "615-452-9686",
            "fax_number": "615-452-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MANU",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014173",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.