Individual provider Active NPI

Ezekiel Lewis Connatser

  • Physical Therapy Assistant
  • Knoxville, TN
National Provider Identifier
1700702446
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
9131 Issued in TN
Practice address
809 E Emerald Ave
Knoxville, TN 37917-5550
Phone
(865) 524-7366
Fax
(865) 637-4402
NPI assigned
Jun 26, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X 9131 TN Primary

Addresses

Primary practice location

809 E Emerald Ave
Knoxville, TN 37917-5550

Mailing address

809 E Emerald Ave
Knoxville, TN 37917-5550
Phone (865) 524-7366

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

NPI Registry JSON

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

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1700702446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 E EMERALD AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379175550",
            "telephone_number": "865-524-7366",
            "fax_number": "865-637-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E EMERALD AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379175550",
            "telephone_number": "865-524-7366",
            "fax_number": "865-637-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNATSER",
        "first_name": "EZEKIEL",
        "middle_name": "LEWIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "9131",
            "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 Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.