Phyllis A Persicano

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

151224962 Issued in TN

Practice address

801 Vanosdale Rd
Knoxville, TN 37909-2497

Phone

(865) 297-4966

NPI assigned

Jun 22, 2026

Last updated

Jun 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functional Pathways Preferred of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841561446
  Care Compare group

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1780510461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 JACKSBORO PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182415",
            "telephone_number": "513-379-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 VANOSDALE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092497",
            "telephone_number": "865-297-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSICANO",
        "first_name": "PHYLLIS",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "151224962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Lou Perry, LPN
• Tabitha Perry, M.S.
• Tiffany Perry, OTD, OTR/L
• Taylor Rhea Perryman
• Morgan Rhae Persgard-Howe
• Jody Alan Persino, R.N.
• Personal Choice Health Care Service PC
• Personalized Caregiving of Tennessee, LLC
• Samantha Pesterfield
• Tracy A Pesut X, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.