Individual provider Active NPI

Maisie Drew Buckner, PT, DPT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1952802571
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12272 Issued in TN
Practice address
301 S Gallaher View Rd Ste 105
Knoxville, TN 37919
Phone
(615) 614-8833
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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 8997 SC
Physical Therapist 225100000X 12272 TN Primary

Addresses

Primary practice location

301 S Gallaher View Rd Ste 105
Knoxville, TN 37919

Mailing address

90 Howard Dr
Shelbyville, KY 40065-8138
Phone (615) 614-8833

Other practice location 1

2937 Tazewell Pike
Knoxville, TN 37918-1874
Phone (615) 614-8833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804003022 TN Practitioner - Physical Therapist in Private Practice 7315341963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8997SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Therapy Services LLC Physical Therapist CurrentSince May 17, 2021 Accepting new patients

Locations

90 Howard Dr
Shelbyville, KY 40065
Phone (502) 233-9074

508 Autumn Springs Ct
Ste 1A
Franklin, TN 37067
Phone 6156148833 ext. 478

2937 Tazewell Pike
Knoxville, TN 37918
Phone (865) 328-7370

301 S Gallaher View Rd
Ste 105
Knoxville, TN 37919
Phone (833) 392-0071

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1952802571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "615-614-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S GALLAHER VIEW RD STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "615-614-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2937 Tazewell Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379181874",
            "country_code": "US",
            "telephone_number": "615-614-8833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "MAISIE",
        "middle_name": "DREW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8997",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12272",
            "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 Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.