NPIMap

Organization Active NPI

Tennessee Sports Medicine Group

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1992947527
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TENNESSEE SPORTS MEDICINE GROUP
Practice address
2260 Sutherland Ave
Knoxville, TN 37919-2350
Phone
(865) 951-2975
Fax
(865) 951-2972
NPI assigned
Mar 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Authorized official

Name
John H Krusenklaus, PT
Title
Owner
Phone
(865) 951-2975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X TN Primary

Addresses

Primary practice location

2260 Sutherland Ave
Knoxville, TN 37919-2350

Mailing address

PO Box 440094
Nashville, TN 37244-0094
Phone (865) 670-6199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090605000577 TN Part B Supplier - Clinic/Group Practice 4183771504 Receives reassigned benefits from 12 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

2260 Sutherland Ave
Knoxville, TN 37919
Phone (865) 691-3155

2332 News Sentinel Dr
Ste 230
Knoxville, TN 37921
Phone (865) 951-2975

2332 News Sentinel Dr
Knoxville, TN 37921
Phone (865) 951-2975

2400 Cherahala Blvd
Ste 100
Knoxville, TN 37932

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1992947527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440094",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440094",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192350",
            "telephone_number": "865-951-2975",
            "fax_number": "865-951-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE SPORTS MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "KRUSENKLAUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-951-2975",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 12, 2009; 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.