Gregory J Defilippo, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4078 Issued in TN

Practice address

4905 N Broadway
Knoxville, TN 37918-2315

Phone

(865) 689-8299

Fax

(865) 689-9804

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Tennessee Spine and Sport IncGroup PAC ID 8820013139, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Tennessee Spine & Sport Inc

  • Physical Therapist
  • Knoxville, TN
  • NPI 1023101144
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841393477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N MARTINWOOD",
            "address_2": "STE 402",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235124",
            "telephone_number": "865-691-5020",
            "fax_number": "865-691-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 N BROADWAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182315",
            "telephone_number": "865-689-8299",
            "fax_number": "865-689-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFILIPPO",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT4078",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19539",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3040730",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364190",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet L Deese, NP
• Elizabeth Joanne Deeter, LCSW
• Sarah Ann Ruth Defalco-Gibbs, M.A.
• Alicia Potter Defalco, PHARMD
• Haley Jean Defalco, LPC/MHSP (T), NCC
• Joseph Charles Defiore Jr., M.D.
• Justin B Defluiter, CRNA
• Andrea Thompson Degennaro, M.A., CCC-SLP
• Anthony Degeorge, PHARMD
• Emily Degeorge, PT

• 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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.