Individual provider Active NPI

Philip Matthew Jenkins, PT, DPT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1952184723
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15143 Issued in TN
Practice address
3014 S Mall Rd NE
Knoxville, TN 37917-2113
Phone
(865) 687-4537
Fax
(865) 687-5367
NPI assigned
Aug 16, 2023
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15143 TN Primary

Addresses

Primary practice location

3014 S Mall Rd NE
Knoxville, TN 37917-2113

Mailing address

3014 S Mall Rd NE
Knoxville, TN 37917-2113
Phone (865) 687-4537

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

LicenseStateTypeSpecialty
15143TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Physical Therapy LLC Halls Past Accepting new patients
Associated Therapeutics, Inc. PastSince Dec 21, 2025 Accepting new patients
Associated Therapeutics, Inc. PastSince Dec 21, 2025 Accepting new patients
Champion Physical Therapy Kentucky LLC PastSince Dec 18, 2022 Accepting new patients

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1952184723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 S MALL RD NE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379172113",
            "telephone_number": "865-687-4537",
            "fax_number": "865-687-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 S MALL RD NE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379172113",
            "telephone_number": "865-687-4537",
            "fax_number": "865-687-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "PHILIP",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 17, 2025; 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.