Individual provider Active NPI

Jeffrey Jackson McIntyre, PT, DPT

  • Physical Therapist
  • Kingsport, TN
National Provider Identifier
1740758747
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15278 Issued in TN
Practice address
1 Sheridan SQ Ste 100
Kingsport, TN 37660-7392
Phone
(423) 230-0194
NPI assigned
Nov 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013770 GA
Physical Therapist 225100000X 15278 TN Primary

Addresses

Primary practice location

1 Sheridan SQ Ste 100
Kingsport, TN 37660-7392

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

2850 Holcomb Bridge Rd Ste 140A
Alpharetta, GA 30022-1658
Phone (678) 585-7921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181231000635 GA Practitioner - Physical Therapist in Private Practice 3678818226 Reassigns benefits to 1 organization
I20240819002979 TN Practitioner - Physical Therapist in Private Practice 3678818226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

320 Bristol W Blvd
Suite 2a
Bristol, TN 37620-8773
Phone (423) 758-1048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15278TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Ga, LLC Physical Therapist CurrentSince Nov 7, 2018 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jan 10, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Nov 7, 2018 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2850 Holcomb Bridge Rd
Ste 140A
Alpharetta, GA 30022
Phone (678) 585-7921

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

400 Tower Rd NE
Ste 140
Marietta, GA 30060
Phone (770) 419-9437

320 Bristol West Blvd
Ste 2A
Bristol, TN 37620
Phone (423) 758-1048

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

1 Sheridan Sq
Ste 100
Kingsport, TN 37660
Phone (423) 230-0194

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1740758747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHERIDAN SQ STE 100",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607392",
            "telephone_number": "423-230-0194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2850 Holcomb Bridge Rd Ste 140A",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300221658",
            "country_code": "US",
            "telephone_number": "678-585-7921",
            "fax_number": "678-585-7923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "JEFFREY",
        "middle_name": "JACKSON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-07",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013770",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.