Individual provider Active NPI

Bernadette Vidallo Hidalgo-Catuncan, PT , CLT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1700227154
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3951 Issued in TN
Practice address
2036 Bishops Bridge Rd
Knoxville, TN 37922-6290
Phone
(865) 769-3894
NPI assigned
Jul 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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 PT3951 TN Primary

Addresses

Primary practice location

2036 Bishops Bridge Rd
Knoxville, TN 37922-6290

Mailing address

2036 Bishops Bridge Rd
Knoxville, TN 37922-6290
Phone (865) 769-3894

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025002105 TN Practitioner - Physical Therapist in Private Practice 4385177542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alanova and Associates, LLCGroup PAC ID 0840236857, 3 clinicians

Practice addresses (Care Compare)

1014 Middle Creek Rd
Sevierville, TN 37862-2939
Phone (865) 453-9022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3951TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alanova & Associates, LLC CurrentSince Jul 29, 2024 Accepting new patients
Oak Street Health Physicians Group, PC PastSince Jul 29, 2024 Accepting new patients

Locations

1014 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 453-9022

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": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1700227154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 BISHOPS BRIDGE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226290",
            "telephone_number": "865-769-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 BISHOPS BRIDGE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226290",
            "telephone_number": "865-769-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO-CATUNCAN",
        "first_name": "BERNADETTE",
        "middle_name": "VIDALLO",
        "name_prefix": "Mrs.",
        "credential": "PT , CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT3951",
            "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 Jul 15, 2013; 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.