Organization Active NPI

Donna M Edwards PT Ocs

Doing business as Mountain Spirit Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Knoxville, TN
National Provider Identifier
1972721769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT0000001656 Issued in TN
Legal business name
DONNA M EDWARDS PT OCS
Doing business as
Mountain Spirit Physical Therapy Inc.
Practice address
10429 Hickory Path Way
Knoxville, TN 37922-3296
Phone
(865) 560-2709
Fax
(865) 560-2710
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Donna Marie Edwards, PT OCSNPI 1295817641
Title
President Owner
Phone
(865) 560-2709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT0000001656 TN Primary

Addresses

Primary practice location

10429 Hickory Path Way
Knoxville, TN 37922-3296

Mailing address

10429 Hickory Path Way
Knoxville, TN 37922-3296
Phone (865) 560-2709

Other names 1

  • Mountain Spirit Physical Therapy Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

10429 Hickory Path Way
Knoxville, TN 37922
Phone (865) 560-2709

685 Morganton Square Dr
Maryville, TN 37801
Phone (865) 379-8300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972721769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10429 HICKORY PATH WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223296",
            "telephone_number": "865-560-2709",
            "fax_number": "865-560-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10429 HICKORY PATH WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223296",
            "telephone_number": "865-560-2709",
            "fax_number": "865-560-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA M EDWARDS PT OCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "865-560-2709",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "PT0000001656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Spirit Physical Therapy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.