Individual provider Active NPI

Michelle P. Kiles, P.T.

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1710940820
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5159 Issued in TN
Practice address
465 N Park 40 Blvd
Knoxville, TN 37923-3615
Phone
(865) 357-5088
Fax
(865) 691-3617
NPI assigned
Apr 10, 2006
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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 5159 TN Primary

Addresses

Primary practice location

465 N Park 40 Blvd
Knoxville, TN 37923-3615

Mailing address

465 N Park 40 Blvd
Knoxville, TN 37923-3615
Phone (865) 357-5088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000013 TN Practitioner - Physical Therapist in Private Practice 7214960541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Knox Physical Therapy, LLCGroup PAC ID 3072868090, 14 clinicians

Practice addresses (Care Compare)

465 N Park 40 Blvd
Knoxville, TN 37923-3615
Phone (865) 357-5088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5159TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Physical Therapy, LLC Physical Therapist CurrentSince Apr 8, 2024 Accepting new patients
Summit Physical Therapy Physical Therapist Past Accepting new patients
Orthotennessee, PC Past Accepting new patients
Orthotennessee Physical Therapist Past Accepting new patients

Locations

465 N Park 40 Blvd
Knoxville, TN 37923
Phone (865) 357-5088

7811 Oak Ridge Hwy
Ste 3
Knoxville, TN 37931
Phone (865) 313-2445

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1710940820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N PARK 40 BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233615",
            "telephone_number": "865-357-5088",
            "fax_number": "865-691-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N PARK 40 BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233615",
            "telephone_number": "865-357-5088",
            "fax_number": "865-691-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILES",
        "first_name": "MICHELLE",
        "middle_name": "P.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5159",
            "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 29, 2026; 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.