Cecilia A Verzosa, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2169 Issued in TN

Practice address

900 W Main St
Rogersville, TN 37857-2448

Phone

(423) 500-5600

Fax

(423) 317-7773

NPI assigned

Dec 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jordan C Black

  dba Tristar Physical Therapy

  • Physical Therapist
  • Morristown, TN
  • NPI 1528569316
  Medicare reassignment NPD
• 904 Therapy LLC

  • Physical Therapy Clinic/Center
  • Rogersville, TN
  • NPI 1467193102
  NPD (past)
• East Tennessee Comprehensive Rehabilitation Center Inc

  • Physical Therapist
  • Morristown, TN
  • NPI 1568537363
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1710963061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132237",
            "telephone_number": "423-375-8907",
            "fax_number": "423-822-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W MAIN ST",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378572448",
            "telephone_number": "423-500-5600",
            "fax_number": "423-317-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERZOSA",
        "first_name": "CECILIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "2169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q078051",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505971",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Star Tunnell, M.S
• Brian K Turner, CRNA
• Diane L Underwood, RN
• Keith A Vaughn, PT
• Susan Frances Venable, RN
• John Anthony Vincenzo, LPN
• Vision Healthcare Solutions LLC (Grace Primary Care Clinic)
• Nancy Kaye Waite-O'Brien, PHD
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3234)
• Wal-Mart Stores East, LP (Vision Center 30-3234)

• Physical Therapist in Rogersville, TN
• Providers in Rogersville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.