William R Pendergrass, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7756 Issued in TN

Practice address

7337 Kingston Pike
Knoxville, TN 37919-5608

Phone

(865) 588-1046

Fax

(865) 588-1048

NPI assigned

Aug 21, 2007

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 names 1

• Bill Pendergrass Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

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
• Hovis Orthopaedic Clinic PC

  • Orthopaedic Surgery Physician
  • Knoxville, TN
  • NPI 1053392043
  NPD (past)
• Orthotennessee, PC

  dba KOC Therapy-Powell

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

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1851584155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MALLORY LN",
            "address_2": "STE 201",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678233",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195608",
            "telephone_number": "865-588-1046",
            "fax_number": "865-588-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGRASS",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "PENDERGRASS",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Reuben N Pelot III, DDS
• Kristie Pelton, MD
• Larry Pemberton, PH.D.
• Brent Alan Pendergast, P.T.
• Logan B. Pendergrass, PT
• Hannah Pendleton, BCBA, LBA
• Sarah Willard Penegar, PH. D.
• Peninsula Outpatient Pharmacy - Knox
• Margie Nell Penn
• Marissa Leah Penn, LCSW

• 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 May 20, 2010; 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.