Active NPI
Kathy Renea Carver
- Physical Therapy Assistant
- Knoxville, TN
National Provider Identifier
1700350758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5156
- Practice address
- 10133 Sherrill Blvd
Knoxville, TN 37932-3347 - Phone
- (865) 531-2204
- NPI assigned
- Jan 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5156 | TN | Primary |
Addresses
Primary practice location
10133 Sherrill Blvd
Knoxville, TN 37932-3347
Mailing address
221 Gilbert LN
Knoxville, TN 37920-3678
Phone (865) 388-6953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5156 | TN | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547337600000",
"number": "1700350758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 GILBERT LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379203678",
"telephone_number": "865-388-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10133 SHERRILL BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379323347",
"telephone_number": "865-531-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVER",
"first_name": "KATHY",
"middle_name": "RENEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-13",
"last_updated": "2019-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "5156",
"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 Jan 13, 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.