Active NPI
Pierce Physical Therapy
- Physical Therapist
- Oak Ridge, TN
National Provider Identifier
1730134008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1362
- Legal business name
- PIERCE PHYSICAL THERAPY
- Practice address
- 661 Emory Valley Rd
Suite a
Oak Ridge, TN 37830-7763 - Phone
- (865) 483-0383
- Fax
- (865) 483-0533
- NPI assigned
- May 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond R Pierce, M.S., P.T.
- Title
- Clinic Director Physical Therapist
- Phone
- (865) 483-0383
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1362 | TN | Primary |
Addresses
Primary practice location
661 Emory Valley Rd
Suite a
Oak Ridge, TN 37830-7763
Mailing address
661 Emory Valley Rd
Suite a
Oak Ridge, TN 37830-7763
Phone (865) 483-0383
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5564393 | Other | TN | AETNA |
| 3724563 | Medicaid | TN | |
| 4023490 | Other | TN | BLUE CROSS BLUE SHIELD |
| 1134919 | Other | TN | UNITED HEALTHCARE |
Other names 1
- PIERCE SPORTS THERAPY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
699 Emory Valley Rd
Oak Ridge, TN 37830
Phone (865) 483-0383
661B Emory Valley Rd
Oak Ridge, TN 37830
Phone (865) 350-6312
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Oak Ridge, TN
- NPI 1881640001
-
- Physical Therapist
- Clinton, TN
- NPI 1689652745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730134008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 EMORY VALLEY RD",
"address_2": "SUITE A",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307763",
"telephone_number": "865-483-0383",
"fax_number": "865-483-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 EMORY VALLEY RD",
"address_2": "SUITE A",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307763",
"telephone_number": "865-483-0383",
"fax_number": "865-483-0533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIERCE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PIERCE",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CLINIC DIRECTOR PHYSICAL THERAPIST",
"authorized_official_telephone_number": "865-483-0383",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.S., P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TN",
"license": "1362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5564393",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3724563",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4023490",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1134919",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PIERCE SPORTS THERAPY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.