Orthotennessee, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORTHOTENNESSEE, PC

Doing business as

OrthoTennessee Orthotics

Practice address

460 Medical Park Dr
Suite 104
Lenoir City, TN 37772-5640

Phone

(865) 986-7737

NPI assigned

Oct 24, 2006

Last updated

Mar 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenn Sumner

Title

Ceo

Phone

(865) 769-4545

Specialties & licenses 1

Addresses

Other names 1

• OrthoTennessee Orthotics Doing business as

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1801970066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 FORT SANDERS WEST BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223355",
            "telephone_number": "865-769-4545",
            "fax_number": "865-769-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR",
            "address_2": "SUITE 104",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725640",
            "telephone_number": "865-986-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTENNESSEE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "SUMNER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-769-4545"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoTennessee Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jewell Ann Ohms, ANP-BC
• Tara D Oran
• Angela Orr, MA CCCSLP
• Orthotennessee, PC (OrthoTennessee Therapy)
• Orthotennessee, PC (Lakeway Orthopaedic Clinic)
• Saul Alberto Padilla, BA
• Jennifer J Padrta, DC
• Pain Medicine of the South, PLLC
• Ioannis Parastatidis, M.D., PH.D.
• Benjamin M Pardue, DO

• Durable Medical Equipment & Medical Supplies in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.