Erwin Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3577 Issued in TN

Legal business name

ERWIN PHYSICAL THERAPY, INC

Practice address

1201 N Main Ave
Erwin, TN 37650-9102

Phone

(423) 854-0001

Fax

(423) 854-0002

NPI assigned

Sep 10, 2007

Last updated

Sep 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Francisco E Borquez, P.T.NPI 1851313969

Title

Owner

Phone

(423) 854-0001

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Francisco E Borquez, PT

  • Physical Therapist
  • Erwin, TN
  • NPI 1851313969
  Authorized official Same address or phone

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1740475177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376509102",
            "telephone_number": "423-854-0001",
            "fax_number": "423-854-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376509102",
            "telephone_number": "423-854-0001",
            "fax_number": "423-854-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERWIN PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "BORQUEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-854-0001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "3577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3729807",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TN",
            "identifier": "4102657",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "589475729",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erwin Eye Care PLLC
• Erwin Health Care Associates LTD (Erwin Health Care Center)
• Erwin Healthcare LLC
• Erwin Medical Clinic
• Erwin Physical Therapy
• Family Medical Associates, LLC
• Jennifer Lee Farnor
• Cleo B Farr, LPC/ MHSP
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.