Active NPI
Atlas Medical LLC
- Physical Therapy Clinic/Center
- Knoxville, TN
National Provider Identifier
1962822239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT0000005104
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1534057 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Knoxville, TN
- NPI 1487602090
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1447799606
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.