Active NPI
Robert Fleming
- Geriatric Physical Therapist
- Kingsport, TN
National Provider Identifier
1902543499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PTA8078
- Practice address
- 2300 Pavilion Dr
Kingsport, TN 37660-4622 - Phone
- (423) 765-9655
- NPI assigned
- May 16, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PTA8078 | TN | Primary |
Addresses
Primary practice location
2300 Pavilion Dr
Kingsport, TN 37660-4622
Mailing address
2796 Highway 75 Apt 2
Blountville, TN 37617-6341
Phone (904) 713-3916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA8078 | TN | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1902543499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2796 HIGHWAY 75 APT 2",
"city": "BLOUNTVILLE",
"state": "TN",
"postal_code": "376176341",
"telephone_number": "904-713-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 PAVILION DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604622",
"telephone_number": "423-765-9655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-16",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TN",
"license": "PTA8078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.