Active NPI
Michael Brett Rolison, PT
- Physical Therapist
- Morristown, TN
National Provider Identifier
1861153694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14684
- Practice address
- 4329 W Andrew Johnson Hwy Ste 1
Morristown, TN 37814-1181 - Phone
- (423) 616-5965
- Fax
- (423) 616-5966
- NPI assigned
- Jan 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | P20220 | NC | |
| Physical Therapist | 225100000X | 14684 | TN | Primary |
Addresses
Primary practice location
4329 W Andrew Johnson Hwy Ste 1
Morristown, TN 37814-1181
Mailing address
4329 W Andrew Johnson Hwy Ste 1
Morristown, TN 37814-1181
Phone (423) 616-5965
Other practice location 1
17001 Searstone Dr
Cary, NC 27513-8385
Phone (919) 234-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14684 | TN | MD | Physical Therapist |
| P20220 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients |
Locations
4329 W Andrew Johnson Hwy
Ste 1
Morristown, TN 37814
Phone (423) 616-5965
291 S Daisy St
Morristown, TN 37813
Phone (423) 616-8315
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1861153694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4329 W ANDREW JOHNSON HWY STE 1",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378141181",
"telephone_number": "423-616-5965",
"fax_number": "423-616-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4329 W ANDREW JOHNSON HWY STE 1",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378141181",
"telephone_number": "423-616-5965",
"fax_number": "423-616-5966"
}
],
"practiceLocations": [
{
"address_1": "17001 Searstone Dr",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275138385",
"country_code": "US",
"telephone_number": "919-234-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLISON",
"first_name": "MICHAEL",
"middle_name": "BRETT",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-04",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "P20220",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "14684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.