Justice Renee Conover, DPT
Individual provider Active NPI Physical Therapist · Knoxville, TN
NPI 1801639331 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1801639331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 15956 (TN)
- Practice address
- 301 S Gallaher View Rd Ste 300
Knoxville, TN 37919-5370 - Phone
- (865) 328-7410
- NPI assigned
- Jun 13, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15956 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15956 | TN | Yes |
Addresses
Primary practice location
301 S Gallaher View Rd Ste 300
Knoxville, TN 37919-5370
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Other providers in Knoxville, TN
- Hannah Conner
- Kimberly Conner
- Megan Hope Conner
- Niki Connor
- Rebecca Katherine Connor
- Jennifer Lyn Conrad-Rendon
- Andrew Baither Conrad
- Brenda K Conrad
- Matthew Mark Conrad
- Sharolyn Kay Conrad
All providers in Knoxville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.