Kathryn Contel, PT, DPT
Individual provider Active NPI Physical Therapist · Gray, TN
NPI 1992346290 · NPPES record last updated Jul 21, 2020
Key facts
- NPI
- 1992346290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12620 (TN)
- Practice address
- 406 Roy Martin Rd Ste 9
Gray, TN 37615-2245 - Phone
- (423) 477-1101
- NPI assigned
- Oct 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agilitas USA, Inc
Practice addresses (Care Compare)
2312 Knob Creek Rd
Suite 200
Johnson City, TN 37604-2367
Phone (423) 430-9004
517 N Main St
Suite B
Greeneville, TN 37745-3428
Phone (423) 638-1111
5220 Park Ave
Suite 201
Memphis, TN 38119-3549
Phone (901) 683-9630
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200109000642 | TN | Practitioner - Physical Therapist in Private Practice | 2365877925 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12620 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA, Inc | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA Inc | Current |
Accepting new patients | |
| Independent Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Achieve Health and Wellness | Past |
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
225 W Summer St
Greeneville, TN 37743
Phone (423) 638-1111
3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12620 | TN | Yes |
Addresses
Primary practice location
406 Roy Martin Rd Ste 9
Gray, TN 37615-2245
Mailing address
406 Roy Martin Rd Ste 9
Gray, TN 37615-2245
Phone (423) 477-1101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12620 | Other | TN | LICENSE NUMBER |
Other providers in Gray, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.