South Fork Physical Therapy Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SOUTH FORK PHYSICAL THERAPY REHAB

Practice address

530 Industrial LN
Oneida, TN 37841-6311

Phone

(423) 569-3443

Fax

(423) 569-2616

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Rammy Gilbert, PT, DPTNPI 1053472738

Title

Owner

Phone

(423) 569-3443

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rammy Scott Gilbert I, P.T. BS

  • Physical Therapist
  • Huntsville, TN
  • NPI 1053472738

  TN

  Medicare reassignment Care Compare group NPD Authorized official
• Cody Carson, PT, DPT

  • Physical Therapist
  • Oneida, TN
  • NPI 1073011359

  TN

  Medicare reassignment Care Compare group NPD
• McKael Conatser, PT, DPT

  • Physical Therapist
  • Jamestown, TN
  • NPI 1871357012

  TN

  Medicare reassignment Care Compare group NPD
• Allison Noelle Gilbert, P.T. MS

  • Physical Therapist
  • Huntsville, TN
  • NPI 1962563650

  TN

  Medicare reassignment Care Compare group NPD
• Jon Michael Allen, OTRL

  • Occupational Therapist
  • Cookeville, TN
  • NPI 1083697221
  NPD (past)
• Joseph Sean Galloway, PT

  • Orthopedic Physical Therapist
  • Wartburg, TN
  • NPI 1780692954
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1699840397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 INDUSTRIAL LN",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416311",
            "telephone_number": "423-569-3443",
            "fax_number": "423-569-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 INDUSTRIAL LN",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416311",
            "telephone_number": "423-569-3443",
            "fax_number": "423-569-2616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Baker Hwy",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TN",
            "postal_code": "377564168",
            "country_code": "US",
            "telephone_number": "423-663-3443",
            "fax_number": "423-663-3493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Old Highway 127 S",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "TN",
            "postal_code": "385565648",
            "country_code": "US",
            "telephone_number": "931-879-4066",
            "fax_number": "931-879-4071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH FORK PHYSICAL THERAPY REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "RAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-569-3443",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3726305",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica L. Shepherd
• Alisha L Shoemaker, APN
• Evelyn Yap Silver, M.D.
• James M Smith, MSN-CRNA
• Laraiia Sneed
• Southern Psychiatric Services
• Jeffrey Lee Spradlin, OTR
• St. Mary'S Medical Center of Scott County, Inc.
• St. Mary'S Medical Center of Scott County, Inc.
• St. Mary'S Medical Center of Scott County, Inc.

• All providers in Oneida, TN
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.