Active NPI
Daniel Keith Justice, DPT
- Physical Therapist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10135
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10135 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy | Current | Accepting new patients | |
| Agilitas USA Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Chattanooga, TN
- NPI 1104878354
-
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1023445475
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.