Organization Active NPI

East Tennessee Emg, Inc.

  • Clinical Electrophysiology Physical Therapist
  • Knoxville, TN
National Provider Identifier
1871626895
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
Legal business name
EAST TENNESSEE EMG, INC.
Practice address
614 Mabry Hood Road
Suite #301
Knoxville, TN 37932
Phone
(865) 531-2204
Fax
(888) 291-0133
NPI assigned
Mar 13, 2007
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Mr. Daniel KnorrNPI 1578695912
Title
President
Phone
(865) 531-2204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical Therapist 2251E1300X Primary

Addresses

Primary practice location

614 Mabry Hood Road
Suite #301
Knoxville, TN 37932

Mailing address

614 Mabry Hood Rd
Suite #301
Knoxville, TN 37932-2669
Phone (865) 531-2204

Other identifiers 2

IdentifierTypeStateIssuer
3654053MedicaidTN
4054725OtherTNBCBS OF TENN

National Provider Directory

National Provider Directory

Locations

614 Mabry Hood Rd
Ste 301
Knoxville, TN 37932
Phone (865) 474-8410

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1871626895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 MABRY HOOD RD",
            "address_2": "SUITE #301",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322669",
            "telephone_number": "865-531-2204",
            "fax_number": "888-291-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 MABRY HOOD ROAD",
            "address_2": "SUITE #301",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37932",
            "telephone_number": "865-531-2204",
            "fax_number": "888-291-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE EMG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "KNORR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-531-2204",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3654053",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENN",
            "identifier": "4054725",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.