Individual provider Active NPI

Daniel Keith Justice, DPT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1962803320
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10135 Issued in TN
Practice address
4635 Greenway Dr
Unit B
Knoxville, TN 37918-2118
Phone
(423) 238-7217
Fax
(423) 285-6647
NPI assigned
Sep 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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 008154 KY
Physical Therapist 225100000X 10135 TN Primary

Addresses

Primary practice location

4635 Greenway Dr
Unit B
Knoxville, TN 37918-2118

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Other practice location 1

205 Washington St
Munfordville, KY 42765-8900
Phone (270) 524-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150105000964 TN Practitioner - Physical Therapist in Private Practice 9234452905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

11130 Kingston Pike
Suite 3
Knoxville, TN 37934-2800
Phone (865) 777-1080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10135TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Sep 11, 2014 Accepting new patients
Independent Physical Therapy CurrentSince Sep 11, 2014 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

10665 Hardin Valley Rd
Knoxville, TN 37932
Phone (865) 690-2690

4635 Greenway Dr
Unit B
Knoxville, TN 37918
Phone (865) 546-0801

11130 Kingston Pike
Ste 3
Knoxville, TN 37934
Phone (865) 777-1080

820 Scenic Hwy
Ste B
Lookout Mtn, TN 37350
Phone (423) 825-1393

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1962803320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-285-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 GREENWAY DR",
            "address_2": "UNIT B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182118",
            "telephone_number": "423-238-7217",
            "fax_number": "423-285-6647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Washington St",
            "address_purpose": "LOCATION",
            "city": "Munfordville",
            "state": "KY",
            "postal_code": "427658900",
            "country_code": "US",
            "telephone_number": "270-524-7800",
            "fax_number": "270-524-7415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "DANIEL",
        "middle_name": "KEITH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008154",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10135",
            "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 31, 2020; 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.