Individual provider Active NPI

Lacee Rhea Jenkins, PT, DPT

  • Physical Therapist
  • Sevierville, TN
National Provider Identifier
1992290662
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT11747 Issued in TN
Practice address
1103 Village Dr
Sevierville, TN 37862-5029
Phone
(865) 908-7041
Fax
(865) 908-7043
NPI assigned
Jun 26, 2018
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT11747 TN Primary

Addresses

Primary practice location

1103 Village Dr
Sevierville, TN 37862-5029

Mailing address

1103 Village Dr
Sevierville, TN 37862-5029
Phone (865) 908-7041

Other practice location 1

1235 E Parkway Ste 5
Gatlinburg, TN 37738-5656
Phone (865) 436-6767

Other practice location 2

1787 Veterans Blvd Ste 102C
Sevierville, TN 37862-6946
Phone (865) 366-3043

Other names 1

  • Lacee Rhea Tinker Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180925000716 TN Practitioner - Physical Therapist in Private Practice 7012268410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1103 Village Dr
Sevierville, TN 37862-5029
Phone (865) 908-7041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11747TNMDCounselor
PT11747TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Therapy Services of East Tennessee Physical Therapist CurrentSince Jun 22, 2018 Accepting new patients
Pro Therapy Services of East Tennessee CurrentSince Jun 22, 2018 Accepting new patients
Pro Therapy Services of East Tennessee, Inc Physical Therapist Current Accepting new patients

Locations

1235 E Parkway
Ste 5
Gatlinburg, TN 37738
Phone (865) 436-6767

2537 Sand Pike Blvd
Pigeon Forge, TN 37863

1103 Village Dr
Sevierville, TN 37862
Phone (865) 908-3261

1787 Veterans Blvd
Ste 102C
Sevierville, TN 37862
Phone (865) 366-3043

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1992290662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625029",
            "telephone_number": "865-908-7041",
            "fax_number": "865-908-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 VILLAGE DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625029",
            "telephone_number": "865-908-7041",
            "fax_number": "865-908-7043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 E Parkway Ste 5",
            "address_purpose": "LOCATION",
            "city": "Gatlinburg",
            "state": "TN",
            "postal_code": "377385656",
            "country_code": "US",
            "telephone_number": "865-436-6767",
            "fax_number": "865-436-6768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1787 Veterans Blvd Ste 102C",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378626946",
            "country_code": "US",
            "telephone_number": "865-366-3043",
            "fax_number": "865-366-3044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LACEE",
        "middle_name": "RHEA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT11747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEE",
            "last_name": "TINKER",
            "middle_name": "RHEA",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.