Organization Active NPI

Atlas Medical LLC

  • Physical Therapy Clinic/Center
  • Knoxville, TN
National Provider Identifier
1962822239
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT0000005104 Issued in TN
Legal business name
ATLAS MEDICAL LLC
Practice address
1612 Downtown West Blvd Ste B
Knoxville, TN 37919-5408
Phone
(865) 333-4844
NPI assigned
Apr 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Amit Patel
Title
Manager
Phone
(865) 333-4844

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT0000005104 TN Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1612 Downtown West Blvd Ste B
Knoxville, TN 37919-5408

Mailing address

PO Box 24683
Knoxville, TN 37933-2683
Phone (865) 333-4844

Other identifiers 1

IdentifierTypeStateIssuer
1534057MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20140717001602 TN DME Supplier - Independently-Practicing Physical Therapist 5698991263 Practice locations: Athens, TN
O20160624001198 TN Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5698991263 Practice locations: Athens, TN; Harriman, TN
O20220707000141 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698991263 Receives reassigned benefits from 2 practitioners
Practice locations: Athens, TN; Knoxville, TN

National Provider Directory

National Provider Directory

Locations

1841 Griffith Dr
Harriman, TN 37748
Phone (865) 333-4844

9333 Park West Blvd
Ste 105
Knoxville, TN 37923
Phone (865) 333-4844

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1962822239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24683",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379332683",
            "telephone_number": "865-333-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 DOWNTOWN WEST BLVD STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195408",
            "telephone_number": "865-333-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "865-333-4844"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "PT0000005104",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1534057",
            "state": "TN"
        }
    ],
    "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 Oct 24, 2016; 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.