Individual provider Active NPI

Austin Harris Delk, DPT

  • Physical Therapist
  • Farragut, TN
National Provider Identifier
1891295879
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11578 Issued in TN
Practice address
11135 Kingston Pike
Farragut, TN 37934-2807
Phone
(865) 671-3094
Fax
(865) 671-3094
NPI assigned
Feb 16, 2018
Last updated
Feb 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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 P17499 NC
Physical Therapist 225100000X 11578 TN Primary

Addresses

Primary practice location

11135 Kingston Pike
Farragut, TN 37934-2807

Mailing address

PO Box 930402
Atlanta, GA 31193-0402
Phone (865) 671-3094

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025000629 TN Practitioner - Physical Therapist in Private Practice 5698028439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Solutions LLCGroup PAC ID 5496668667, shared by 3 NPIs, 17 clinicians

Practice addresses (Care Compare)

3135 Peoples St
Johnson City, TN 37604-4130
Phone (423) 454-1006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P17499NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions LLC Physical Therapist Current Accepting new patients
PT Solutions LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
PT Solutions, LLC CurrentSince Jan 1, 2018 Accepting new patients
PT Solutions LLC Physical Therapist CurrentSince Nov 1, 2018 Accepting new patients
Takoma Regional Hospital, Inc Past Accepting new patients

Locations

1321 Tusculum Blvd
Unit 9
Greeneville, TN 37745
Phone (423) 798-8420

3135 Peoples St
Johnson City, TN 37604
Phone (423) 454-1006

11135 Kingston Pike
Knoxville, TN 37934
Phone (865) 381-5658

Organizations & group practices 5

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1891295879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930402",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311930402",
            "telephone_number": "865-671-3094",
            "fax_number": "865-888-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11135 KINGSTON PIKE",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379342807",
            "telephone_number": "865-671-3094",
            "fax_number": "865-671-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELK",
        "first_name": "AUSTIN",
        "middle_name": "HARRIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17499",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farragut, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.