Kianna Sue Elliott

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6908 Issued in TN

Practice address

350 Pine Hill Rd
Elizabethton, TN 37643-2931

Phone

(423) 297-7588

NPI assigned

Sep 12, 2019

Last updated

Sep 12, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1730739665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PINE HILL RD",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432931",
            "telephone_number": "423-297-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINE HILL RD",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432931",
            "telephone_number": "423-297-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KIANNA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "6908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabethton Chiropractic, LLC
• Elizabethton Medical Investors LP (Life Care Center of Elizabethton)
• Elizabethton Surgery Center, LLC
• Elizabethton Vision and Contact Lens Center Inc
• Glenn E Elliott
• Patricia Ellis
• Nathan Emmert, O.D.
• Aaron Jordan English
• Etsu Physicians & Associates
• Robert Joseph Evans, MA CCC A

• Physical Therapy Assistant in Elizabethton, TN
• Providers in Elizabethton, 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 Sep 12, 2019; 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.