Organization Active NPI

Sports Therapy of Knoxville, LLC

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1922126044
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORTS THERAPY OF KNOXVILLE, LLC
Practice address
10745 Lexington Dr
Knoxville, TN 37932-3230
Phone
(865) 384-1664
Fax
(865) 966-5976
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Justin Lawson
Title
Director of Finance
Phone
(615) 342-0214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10745 Lexington Dr
Knoxville, TN 37932-3230

Mailing address

PO Box 331255
Nashville, TN 37203-7512
Phone (865) 384-1664

Other names 1

  • D1 sports therapy Other name

National Provider Directory

National Provider Directory

Locations

10745 Lexington Dr
Knoxville, TN 37932
Phone (865) 384-1664

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922126044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331255",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372037512",
            "telephone_number": "865-384-1664",
            "fax_number": "865-966-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10745 LEXINGTON DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323230",
            "telephone_number": "865-384-1664",
            "fax_number": "865-966-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS THERAPY OF KNOXVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "615-342-0214",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D1 sports therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.