Thaddeus Mackiewicz Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6085 Issued in TN

Practice address

1932 Alcoa Hwy
Suite 350
Knoxville, TN 37920-1527

Phone

(865) 595-1940

Fax

(865) 595-1945

NPI assigned

May 16, 2006

Last updated

Apr 22, 2013By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Behavioral Medicine Institute PC

  • Clinical Psychologist
  • Knoxville, TN
  • NPI 1073674552
  NPD (past)
• Orthotennessee

  dba KOC Therapy-UT Athletics

  • Multi-Specialty Clinic/Center
  • Knoxville, TN
  • NPI 1841508751

  Physical Therapist

  NPD (past)
• Orthotennessee, PC

  dba KOC Orthotics-Sevierville

  • Durable Medical Equipment & Medical Supplies
  • Sevierville, TN
  • NPI 1013450360
  NPD (past)
• Orthotennessee, PC

  dba KOC Therapy-Powell

  • Multi-Specialty Clinic/Center
  • Powell, TN
  • NPI 1518043751
  NPD (past)
• Therapy Center Inc

  dba Marino Therapy Centers

  • Physical Therapist
  • Knoxville, TN
  • NPI 1336199033
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1811949357",
    "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": "1932 ALCOA HWY",
            "address_2": "SUITE 350",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201527",
            "telephone_number": "865-595-1940",
            "fax_number": "865-595-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIEWICZ",
        "first_name": "THADDEUS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4140561",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0465875",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36583521",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Mackay, LMSW
• Sheryl Mackenzie-Amburn
• Emma Mackey, M.A. CCC-SLP
• Michelle Renee Mackey, LPC
• Sarah Mackey, DO
• Meagan Nicole Macklin
• Grace Macmorran, PA-C
• Paula R Macmorran, PH.D., APRN, BC
• Megan Michelle Macnamara, PH.D.
• Jon Mark Macnaughton, M.D.

• 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 Apr 22, 2013; 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.