Individual provider Active NPI

Alexander Victor McGlohon, OTR/L, OTD

  • Occupational Therapist
  • Newport, TN
National Provider Identifier
1750173415
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8310 Issued in TN
Practice address
113 Hedrick Dr
Newport, TN 37821-2930
Phone
(423) 438-1124
Fax
(423) 244-0279
NPI assigned
May 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8310 TN Primary

Addresses

Primary practice location

113 Hedrick Dr
Newport, TN 37821-2930

Mailing address

325 W Morris Blvd Ste B
Morristown, TN 37813-2237
Phone (423) 317-7772

Other practice location 1

263 E Broadway Blvd
Jefferson City, TN 37760-2810
Phone (865) 375-0880

Other practice location 2

2041 Hamilton Pl
Johnson City, TN 37604-7920
Phone (423) 804-1020

Other practice location 3

900 W Main St
Rogersville, TN 37857-2448
Phone (423) 500-5600

Other practice location 4

325 W Morris Blvd Ste B
Morristown, TN 37813-2237
Phone (423) 317-7772

Other practice location 5

2250 Broadway Dr Ste A1
Bean Station, TN 37708-2016
Phone (865) 935-8111

Other practice location 6

1009 Hampshire Dr
Maryville, TN 37801-3525
Phone (865) 518-6791

Other practice location 7

410 N Broad St
New Tazewell, TN 37825-6606
Phone (423) 381-8813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250529002429 TN Practitioner - Occupational Therapist in Private Practice 9638698905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Lincoln Memorial University Medical Department, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan C BlackGroup PAC ID 5890117469, 24 clinicians

Practice addresses (Care Compare)

325 W Morris Blvd
Morristown, TN 37813-2237
Phone (423) 317-7772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8310TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan C Black Occupational Therapist CurrentSince May 29, 2025 Accepting new patients
Tristar Physical Therapy LLC CurrentSince May 29, 2025 Accepting new patients

Locations

2250 Broadway Dr
Ste A1
Bean Station, TN 37708
Phone (865) 935-8111

263 E Broadway Blvd
Jefferson City, TN 37760
Phone (865) 375-0880

2041 Hamilton Pl
Johnson City, TN 37604
Phone (423) 804-1020

1009 Hampshire Dr
Maryville, TN 37801
Phone (865) 518-6791

325 W Morris Blvd
Morristown, TN 37813
Phone (423) 258-2264

325 W Morris Blvd
Ste B
Morristown, TN 37813
Phone (423) 317-7772

410 N Broad St
New Tazewell, TN 37825
Phone (423) 317-7772

113 Hedrick Dr
Newport, TN 37821
Phone (423) 438-1124

900 W Main St
Rogersville, TN 37857
Phone (423) 272-8829

Organizations & group practices 2

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": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1750173415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W MORRIS BLVD STE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132237",
            "telephone_number": "423-317-7772",
            "fax_number": "423-317-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HEDRICK DR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378212930",
            "telephone_number": "423-438-1124",
            "fax_number": "423-244-0279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 E Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377602810",
            "country_code": "US",
            "telephone_number": "865-375-0880",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2041 Hamilton Pl",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376047920",
            "country_code": "US",
            "telephone_number": "423-804-1020",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W Main St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572448",
            "country_code": "US",
            "telephone_number": "423-500-5600",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 W Morris Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378132237",
            "country_code": "US",
            "telephone_number": "423-317-7772",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Broadway Dr Ste A1",
            "address_purpose": "LOCATION",
            "city": "Bean Station",
            "state": "TN",
            "postal_code": "377082016",
            "country_code": "US",
            "telephone_number": "865-935-8111",
            "fax_number": "423-822-5767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Hampshire Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378013525",
            "country_code": "US",
            "telephone_number": "865-518-6791",
            "fax_number": "865-518-6794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N Broad St",
            "address_purpose": "LOCATION",
            "city": "New Tazewell",
            "state": "TN",
            "postal_code": "378256606",
            "country_code": "US",
            "telephone_number": "423-381-8813",
            "fax_number": "423-254-5311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGLOHON",
        "first_name": "ALEXANDER",
        "middle_name": "VICTOR",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-20",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "8310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.