Wilson T Raines, PT
Individual provider Active NPI Physical Therapist · Knoxville, TN
NPI 1831741776 · NPPES record last updated Feb 6, 2020
Key facts
- NPI
- 1831741776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12262 (TN)
- Practice address
- 9430 Park West Blvd Ste 230
Knoxville, TN 37923-4204 - Phone
- (865) 560-8550
- Fax
- (865) 560-8551
- NPI assigned
- Jul 11, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12262 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Orthopaedic Clinics PC | Current | Accepting new patients | |
| Tennessee Orthopaedic Clinics PC | Current |
Accepting new patients | |
| Tennessee Orthopaedic Clinics PC | Physical Therapist | Current |
Accepting new patients |
| Tennessee Orthopaedic Clinics PC | Physical Therapist | Past | Accepting new patients |
| Tennessee Orthopaedic Alliance PA | Past | Accepting new patients |
Locations
9430 Park West Blvd
Ste 230
Knoxville, TN 37923
Phone (865) 560-8550
9129 Cross Park Dr
Ste 101
Knoxville, TN 37923
Phone (865) 694-7725
1819 Clinch Ave
Ste 106
Knoxville, TN 37916
Phone (865) 524-5365
576 Fort Loudoun Med Center Dr
Ste 100
Lenoir City, TN 37772
Phone (865) 988-8667
961 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 483-1906
988 Oak Ridge Tpke
Ste 100
Oak Ridge, TN 37830
Phone (865) 483-8478
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12262 | TN | Yes |
Addresses
Primary practice location
9430 Park West Blvd Ste 230
Knoxville, TN 37923-4204
Mailing address
PO Box 32569
Knoxville, TN 37930-2569
Phone (865) 694-7725
Other practice location 1
961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832
Phone (865) 483-1906
Other practice location 2
1819 Clinch Ave Ste 106
Knoxville, TN 37916-2435
Phone (865) 633-0259
Other practice location 3
988 Oak Ridge Tpke Ste 100A
Oak Ridge, TN 37830-6919
Phone (865) 425-4388
Other practice location 4
576 Fort Loudoun Medical Center Dr Ste 100A
Lenoir City, TN 37772-5676
Phone (865) 988-8796
Other providers in Knoxville, TN
- Alexander Ryan Raines
- Angela Gayle Raines
- Brianna Lee Raines
- Dakota Raines
- James Perdie Raines Jr.
- Darren Michael Rainwater
- Madison Shea Rainwater
- Nemin Maxwell Rajan
- Ashely Nicole Raley
- Shawn Raley
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 Feb 6, 2020. 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.