Jacob Aaron Treadway, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9920 Issued in TN

Practice address

2260 Sutherland Ave
Knoxville, TN 37919-2350

Phone

(865) 951-2975

Fax

(865) 951-2972

NPI assigned

Mar 12, 2014

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

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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.

• Tennessee Sports Medicine Group

  • Physical Therapist
  • Knoxville, TN
  • NPI 1992947527
  Medicare reassignment NPD
• Nuber Chiropractic LLC

  • Chiropractor
  • Knoxville, TN
  • NPI 1568194355
  NPD (past)

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1881010031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192350",
            "telephone_number": "865-951-2975",
            "fax_number": "865-951-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192350",
            "telephone_number": "865-951-2975",
            "fax_number": "865-951-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWAY",
        "first_name": "JACOB",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Dana Traylor, CRNA
• Thomas R Traylor, MD
• Jennifer Traynor
• Frances J Traywick
• Ashley N Treadway, MS, RD, LDN
• Kevin Treadway
• Megan Anne Treadway, OTR/L
• Rachel Watts Treadway, DPT, PT
• Megan Treadwell
• Lawrie Nicholson Treakle, CPNP

• All providers in Knoxville, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.

Verify at the official NPI Registry.