Careye Jolene Neely, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5057 Issued in TN

Practice address

2255 Highway 25E Ste 4
Tazewell, TN 37879-3857

Phone

(423) 626-7848

Fax

(423) 626-7849

NPI assigned

Dec 19, 2018

Sex

Female

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

Specialty

Physical Therapist in Private Practice

Education

University of Kentucky College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Tennessee Physical Therapy LLCGroup PAC ID 7810294832, 3 clinicians

Practice addresses (Care Compare)

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.

• East Tennessee Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Maynardville, TN
  • NPI 1134504764
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1922570605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378490096",
            "telephone_number": "865-745-1799",
            "fax_number": "865-745-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 HIGHWAY 25E STE 4",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793857",
            "telephone_number": "423-626-7848",
            "fax_number": "423-626-7849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4357 Maynardville Hwy",
            "address_purpose": "LOCATION",
            "city": "Maynardville",
            "state": "TN",
            "postal_code": "378073623",
            "country_code": "US",
            "telephone_number": "865-745-1799",
            "fax_number": "865-745-1806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELY",
        "first_name": "CAREYE",
        "middle_name": "JOLENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Miracle, PHARM D.
• Sadril Mohammad
• Mari-Ruth E Morton, PHARMD
• Multispecialty Medical P.C.
• Boyd Brent Myers, CRNA
• Donna Neely, SPEECH PATHOLOGIST
• Anna Noel Nerren, FNP
• Victoria Lynn Parker, PTA
• Jaykrishna Patel, M.D.
• Shaku J Patel, D.D.S.

• Physical Therapist in Tazewell, TN
• Providers in Tazewell, TN by specialty
• Physical Therapist in Tennessee

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