Individual provider Active NPI

Andrew Fila

  • Physical Therapist
  • Greeneville, TN
National Provider Identifier
1952878381
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1321 Tusculum Blvd Unit 9
Greeneville, TN 37745-4236
Phone
(423) 798-5420
Fax
(423) 798-8422
NPI assigned
Oct 24, 2018
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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 NU Primary

Addresses

Primary practice location

1321 Tusculum Blvd Unit 9
Greeneville, TN 37745-4236

Mailing address

PO Box 724557
Atlanta, GA 31139-1557
Phone (800) 478-2778

Other identifiers 1

IdentifierTypeStateIssuer
11985OtherTNPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220228000535 MI Practitioner - Physical Therapist in Private Practice 3870838212 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Physical Therapists LLC Physical Therapist CurrentSince Feb 25, 2024 Accepting new patients

Locations

1030 15th St NW
#B1
Washington, DC 20005

241 Madison St
Detroit, MI 48226
Phone (248) 797-9359

Organizations & group practices 2

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1952878381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724557",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311391557",
            "telephone_number": "800-478-2778",
            "fax_number": "909-985-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 TUSCULUM BLVD UNIT 9",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454236",
            "telephone_number": "423-798-5420",
            "fax_number": "423-798-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILA",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "11985",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.