Individual provider Active NPI

Kristofer Collums, DPT, PT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1699559047
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15005 Issued in TN
Practice address
7228 Norris Fwy
Knoxville, TN 37918-5744
Phone
(865) 377-3176
Fax
(865) 377-3187
NPI assigned
Aug 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15005 TN Primary

Addresses

Primary practice location

7228 Norris Fwy
Knoxville, TN 37918-5744

Mailing address

7228 Norris Fwy
Knoxville, TN 37918-5744
Phone (865) 377-3176

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208001017 TN Practitioner - Physical Therapist in Private Practice 5193174753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

7228 Norris Fwy
Knoxville, TN 37918-5744
Phone (865) 377-3176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15005TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan C Black Physical Therapist CurrentSince Oct 28, 2023 Accepting new patients
Tristar Physical Therapy LLC Physical Therapist PastSince Sep 1, 2023 Accepting new patients

Locations

263 E Broadway Blvd
Jefferson City, TN 37760
Phone (865) 375-0880

1009 Hampshire Dr
Maryville, TN 37801
Phone (865) 518-6791

325 W Morris Blvd
Ste B
Morristown, TN 37813
Phone (423) 317-7772

325 W Morris Blvd
Morristown, TN 37813
Phone (423) 258-2264

410 N Broad St
New Tazewell, TN 37825
Phone (423) 317-7772

113 Hedrick Dr
Newport, TN 37821
Phone (423) 438-1124

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1699559047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7228 NORRIS FWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185744",
            "telephone_number": "865-377-3176",
            "fax_number": "865-377-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7228 NORRIS FWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185744",
            "telephone_number": "865-377-3176",
            "fax_number": "865-377-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLUMS",
        "first_name": "KRISTOFER",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15005",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 22, 2025; 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.