Eric H Rockwell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT762 Issued in TN

Practice address

6700 Baum Drive
Ste 19
Knoxville, TN 37919-7334

Phone

(865) 588-4108

Fax

(865) 474-1521

NPI assigned

Jun 22, 2005

Reactivated

Mar 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1801892195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 BAUM DRIVE",
            "address_2": "STE 19",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197334",
            "telephone_number": "865-588-4108",
            "fax_number": "865-474-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 BAUM DRIVE",
            "address_2": "STE 19",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197334",
            "telephone_number": "865-588-4108",
            "fax_number": "865-474-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKWELL",
        "first_name": "ERIC",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-05-18",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650008552",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2005539",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0101",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3654677",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Rochelle
• John Crawford Rochester, M.D.
• Amber Rochette, PHD
• Cynthia A Rockey, L.C.S.W.
• Timothy Scott Rocklein, PA-C
• Jessica Lindley Rockwell, RDH
• Rocky Hill Pharmacy, LLC
• Rocky Top Chiropractic LLC
• Rocky Top Dental Services LLC
• Rocky Top Pediatric Dentistry, LLC

• 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 May 18, 2012; 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.