McKael Conatser, PT, DPT
Individual provider Active NPI Physical Therapist · Jamestown, TN
NPI 1871357012 · NPPES record last updated Feb 8, 2024
Key facts
- NPI
- 1871357012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 15459 (TN)
- Practice address
- 1010 Old Highway 127 S
Jamestown, TN 38556-5648 - Phone
- (931) 879-4066
- Fax
- (931) 879-4071
- NPI assigned
- Feb 8, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- East Tennessee State University Quillen College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Fork Physical Therapy Rehab
Practice addresses (Care Compare)
1010 Old Hwy 127 S
Jamestown, TN 38556-5648
Phone (931) 879-4066
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240325001415 | TN | Practitioner - Physical Therapist in Private Practice | 9739526864 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Fork Physical Therapy Rehab | Current |
Accepting new patients |
Locations
950 Baker Hwy
Unit 7
Huntsville, TN 37756
Phone (423) 663-3443
1010 Old Highway 127 S
Jamestown, TN 38556
Phone (931) 879-4066
530 Industrial Ln
Oneida, TN 37841
Phone (423) 569-3443
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15459 | TN | Yes |
Addresses
Primary practice location
1010 Old Highway 127 S
Jamestown, TN 38556-5648
Mailing address
530 Industrial LN
Oneida, TN 37841-6311
Phone (423) 569-3443
Other providers in Jamestown, TN
- Richard Gary Clark
- Christie Clarke
- Norma Collins
- Thomas L. Collins
- Linda Conatser
- Cynthia Cooper Smith
- Riley Brooke Copeland
- Sherry Emma Crabtree
- Jodi Lashae Cross
- Joyce G Crouch
All providers in Jamestown, 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 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.