Active NPI
Knob Creek Physical Therapy LLC
- Physical Therapy Clinic/Center
- Johnson City, TN
National Provider Identifier
1851090419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- KNOB CREEK PHYSICAL THERAPY LLC
- Practice address
- 2889 Knob Creek Rd
Johnson City, TN 37604-2112 - Phone
- (423) 341-7181
- NPI assigned
- Mar 2, 2023
- Last updated
- Mar 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine J Sink, PT, DPT
- Title
- Physical Therapist
- Phone
- (423) 341-7181
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
2889 Knob Creek Rd
Johnson City, TN 37604-2112
Mailing address
2889 Knob Creek Rd
Johnson City, TN 37604-2112
Phone (423) 341-7181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | CASH PAY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Johnson City, TN
- NPI 1144668179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677715200000",
"number": "1851090419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2889 KNOB CREEK RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042112",
"telephone_number": "423-341-7181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2889 KNOB CREEK RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042112",
"telephone_number": "423-341-7181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOB CREEK PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-02",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A",
"authorized_official_last_name": "SINK",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "423-341-7181",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CASH PAY",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.