Kevin Bishop

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0000000373 Issued in TN

Practice address

1115 N Charles G Seivers Blvd
Suite 22
Clinton, TN 37716-3946

Phone

(865) 766-5194

NPI assigned

Feb 18, 2010

Last updated

Feb 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1720300700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N CHARLES G SEIVERS BLVD",
            "address_2": "SUITE 22",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163946",
            "telephone_number": "865-766-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N CHARLES G SEIVERS BLVD",
            "address_2": "SUITE 22",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163946",
            "telephone_number": "865-766-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA0000000373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Boyd Beeler, D.D.S.
• Benchmark Healthcare Services LLC
• Jacqueline Beth Berk, DC
• Timothy Allen Bible, D.D.S.
• Holly Bishop
• Kari Lorayne Bowling, RN
• Bailey Boyd, FNP
• Julia Frances Bracewell, PA-C
• Colton Bradfield, DPT
• Bradley Gipson

• Physical Therapy Assistant in Clinton, TN
• Providers in Clinton, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.