Spirit Prosthetics

Primary specialty

Amputee Clinic/CenterTaxonomy code 261QA0900X

License

PRO0000000113 Issued in TN

Legal business name

SPIRIT PROSTHETICS

Practice address

211 E Blount Ave
Suite 701
Knoxville, TN 37920-1614

Phone

(865) 549-4599

Fax

(865) 549-4598

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Brian D Johnson, CP, LP

Title

Owner/Prosthetist

Phone

(865) 363-3513

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1992976013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4728 TILLERY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379125400",
            "telephone_number": "865-363-3513",
            "fax_number": "865-549-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E BLOUNT AVE",
            "address_2": "SUITE 701",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201614",
            "telephone_number": "865-549-4599",
            "fax_number": "865-549-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PROSTHETIST",
        "authorized_official_telephone_number": "865-363-3513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP, LP"
    },
    "taxonomies": [
        {
            "code": "261QA0900X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Amputee",
            "state": "TN",
            "license": "PRO0000000113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Holcomb Spires, CPT
• Lesley Conner Spires, FNP-BC
• Morgan Spires, BCBA, LBA
• Sarah Renee Spires, COTA/L
• Zachary Richard Spires, DO
• Kathryn Anne Spittler, LPC-MHSP
• Taylor Faith Spoo, APRN
• Libby R. Spoon, RN
• Sport and Wellness Chiropractic, PLLC
• Sports Therapy of Knoxville, LLC

• Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.