King Ventures

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KING VENTURES

Practice address

2766 Wilma Rudolph Blvd
Suite a
Clarksville, TN 37040-5837

Phone

(931) 552-2804

Fax

(931) 552-2809

NPI assigned

Mar 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Marcus Antwan Pearson, PT

Title

Physical Therapist/Owner

Phone

(931) 552-2804

Specialties & licenses 2

Addresses

Other names 1

• Good Health Doing business as

Locations

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1770909475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 WILMA RUDOLPH BLVD",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405837",
            "telephone_number": "931-552-2804",
            "fax_number": "931-552-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 WILMA RUDOLPH BLVD",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405837",
            "telephone_number": "931-552-2804",
            "fax_number": "931-552-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "ANTWAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "931-552-2804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandrea Nicole Kimbrough
• Katherine Hayes Kimbrough, DPT
• Kristi Wood Kimmell, SLP
• Courtney Kimsey, PT
• Terry Lee Kincaid, DPH
• Alexis King
• Kiara King
• Shawn M King, MD
• Shuntrell M King
• Jenny Lynn Kingsbury, AU.D.

• Physical Therapy Clinic/Center in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.