Individual provider Active NPI

Janet Gedeon, PT

  • Physical Therapist
  • Tellico Plains, TN
National Provider Identifier
1881976850
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12455 Issued in TN
Practice address
8805 New Highway 68 Unit 1
Tellico Plains, TN 37385-3552
Phone
(423) 253-3300
Fax
(423) 253-3947
NPI assigned
Sep 15, 2011
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT15815 FL
Physical Therapist 225100000X 12455 TN Primary

Addresses

Primary practice location

8805 New Highway 68 Unit 1
Tellico Plains, TN 37385-3552

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8930

Other practice location 1

1235 Royal Oak Dr
Dunedin, FL 34698-3114
Phone (727) 459-7271

Other practice location 2

311 Congress Pkwy N Ste 800
Athens, TN 37303-1697
Phone (423) 744-0890

Other practice location 3

878 Highway 411 N
Etowah, TN 37331-1912
Phone (423) 263-7070

Other practice location 4

208 Railroad St
Sweetwater, TN 37874-3013
Phone (423) 337-7897

Other practice location 5

1750 N 50th St
Tampa, FL 33619
Phone (813) 247-4489

Other practice location 6

4249 Highway 411 Ste 4
Madisonville, TN 37354-1544
Phone (423) 442-4034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200310001444 TN Practitioner - Physical Therapist in Private Practice 1658709498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

212 Railroad St
Sweetwater, TN 37874-3013
Phone (423) 337-7897

2130 Hwy 411
Suite C
Vonore, TN 37885-2236
Phone (423) 777-8180

311 Congress Pkwy N
Suite 800
Athens, TN 37303-1697
Phone (423) 744-0890

3575 Keith St NW
Suite 205
Cleveland, TN 37312-4326
Phone (423) 559-0444

4249 Hwy 411
Suite 4
Madisonville, TN 37354-1544
Phone (423) 442-4034

5220 Park Ave
Suite 201
Memphis, TN 38119-3549
Phone (901) 683-9630

878 Hwy 411 N
Etowah, TN 37331-1912
Phone (423) 263-7070

8805 New Hwy 68
Unit 1
Tellico Plains, TN 37385-3552
Phone (423) 253-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT15815FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Feb 3, 2020 Accepting new patients
Independent Physical Therapy Physical Therapist CurrentSince Feb 3, 2020 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 5, 2022 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Dec 5, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

311 Congress Pkwy N
Ste 800
Athens, TN 37303
Phone (423) 744-0890

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

878 Highway 411 N
Etowah, TN 37331
Phone (423) 263-7070

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

4249 Highway 411
Ste 4
Madisonville, TN 37354
Phone (423) 436-0309

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

208 Railroad St
Sweetwater, TN 37874
Phone (423) 337-7897

8805 New Highway 68
Unit 1
Tellico Plains, TN 37385
Phone (423) 253-3300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1881976850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 NEW HIGHWAY 68 UNIT 1",
            "city": "TELLICO PLAINS",
            "state": "TN",
            "postal_code": "373853552",
            "telephone_number": "423-253-3300",
            "fax_number": "423-253-3947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Royal Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "346983114",
            "country_code": "US",
            "telephone_number": "727-459-7271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Congress Pkwy N Ste 800",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TN",
            "postal_code": "373031697",
            "country_code": "US",
            "telephone_number": "423-744-0890",
            "fax_number": "423-744-0849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "878 Highway 411 N",
            "address_purpose": "LOCATION",
            "city": "Etowah",
            "state": "TN",
            "postal_code": "373311912",
            "country_code": "US",
            "telephone_number": "423-263-7070",
            "fax_number": "423-263-7077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 Railroad St",
            "address_purpose": "LOCATION",
            "city": "Sweetwater",
            "state": "TN",
            "postal_code": "378743013",
            "country_code": "US",
            "telephone_number": "423-337-7897",
            "fax_number": "423-337-7943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 N 50th St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33619",
            "country_code": "US",
            "telephone_number": "813-247-4489",
            "fax_number": "813-247-4480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4249 Highway 411 Ste 4",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "TN",
            "postal_code": "373541544",
            "country_code": "US",
            "telephone_number": "423-442-4034",
            "fax_number": "423-442-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEDEON",
        "first_name": "JANET",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15815",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tellico Plains, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.