| East Tennessee Spine & Sport Inc | |
|
150 N Martinwood Rd, Suite 402, Knoxville, TN 37923-5124 | |
| (865) 691-5020 | |
| (865) 691-5009 |
| Full Name | East Tennessee Spine & Sport Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 150 N Martinwood Rd, Knoxville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023101144 | NPI | - | NPPES |
| 3650983 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Gregory Defilippo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841393477 PECOS PAC ID: 1153234463 Enrollment ID: I20051007000052 |
| Provider Name | William R Pendergrass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851584155 PECOS PAC ID: 3779676366 Enrollment ID: I20070912000872 |
| Provider Name | Graeme Keys |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083693121 PECOS PAC ID: 2365506862 Enrollment ID: I20090128000322 |
| Provider Name | Donald A Sharp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093953028 PECOS PAC ID: 2264589670 Enrollment ID: I20090421000607 |
| Provider Name | Hollie Hennessy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437457868 PECOS PAC ID: 2163609553 Enrollment ID: I20110613000459 |
| Provider Name | Enid Tate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407943905 PECOS PAC ID: 7719150937 Enrollment ID: I20111104000054 |
| Provider Name | Emily N Pace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245503952 PECOS PAC ID: 4688834237 Enrollment ID: I20120320000221 |
| Provider Name | Eric S Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588900724 PECOS PAC ID: 6901045608 Enrollment ID: I20130610000174 |
| Provider Name | Whitney Lane Lensgraf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093174757 PECOS PAC ID: 8820395676 Enrollment ID: I20160323000391 |
| Provider Name | Bethany Deer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275916173 PECOS PAC ID: 0446559397 Enrollment ID: I20160428000693 |
| Provider Name | Gordon Davis Rudell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821463183 PECOS PAC ID: 7618269713 Enrollment ID: I20160711001784 |
| Provider Name | Kristine B Bedell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740653435 PECOS PAC ID: 4880989607 Enrollment ID: I20160818000692 |
| Provider Name | Amanda Carden-mckinley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477053882 PECOS PAC ID: 0547518854 Enrollment ID: I20180802002329 |
| Provider Name | Ian Alister Mckinley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396247490 PECOS PAC ID: 6002164068 Enrollment ID: I20180807003433 |
| Provider Name | Kayla Dougherty Beets |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831670447 PECOS PAC ID: 3072865211 Enrollment ID: I20181016002620 |
| Provider Name | Priyanka N Parmar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598232266 PECOS PAC ID: 8224378641 Enrollment ID: I20190321002759 |
| Provider Name | Kristi Michelle Granger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710539796 PECOS PAC ID: 7012349277 Enrollment ID: I20191111000349 |
| Provider Name | Micah Daniel Reppuhn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629683974 PECOS PAC ID: 7911319983 Enrollment ID: I20201215003358 |
| Provider Name | Renee Michelle Combs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467942680 PECOS PAC ID: 2769891225 Enrollment ID: I20210513000523 |
| Provider Name | Rachel A Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699345140 PECOS PAC ID: 1951704642 Enrollment ID: I20210719001492 |
| Provider Name | Zane Banschbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912579699 PECOS PAC ID: 5698171999 Enrollment ID: I20210913001549 |
| Provider Name | Aimee Pepple Halles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740739465 PECOS PAC ID: 9032407754 Enrollment ID: I20220308002248 |
| Provider Name | Timothy Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477207017 PECOS PAC ID: 8628463288 Enrollment ID: I20220317000002 |
| Provider Name | Taryn A Bader |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124312533 PECOS PAC ID: 4587835905 Enrollment ID: I20220517000704 |
| Provider Name | Robert Richmond Mccarty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962140525 PECOS PAC ID: 4082095971 Enrollment ID: I20220725000906 |
| Provider Name | Victoria Hamby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023741899 PECOS PAC ID: 7810371069 Enrollment ID: I20220907001813 |
| Provider Name | Patrick Grayson Blake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518685353 PECOS PAC ID: 8921483629 Enrollment ID: I20220916000122 |
| Provider Name | Taylor Brooke Poe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184357360 PECOS PAC ID: 4385029628 Enrollment ID: I20220922000788 |
| Provider Name | Leah Jean Thayer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295512655 PECOS PAC ID: 1850748914 Enrollment ID: I20231110000782 |
| Provider Name | Caroline Hibbs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336719418 PECOS PAC ID: 0840637898 Enrollment ID: I20240326002132 |
| Provider Name | Jenna Swisshelm |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821428343 PECOS PAC ID: 1153760590 Enrollment ID: I20240417002656 |
| Provider Name | Erin Dellinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134964539 PECOS PAC ID: 2769929512 Enrollment ID: I20240730001451 |
| Provider Name | Ashlynn Victoria Castellon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508603283 PECOS PAC ID: 9133654049 Enrollment ID: I20241129000354 |
| Provider Name | Isabel Lteif |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780429654 PECOS PAC ID: 6002342862 Enrollment ID: I20241204001792 |
| Provider Name | Sarah Kinsey Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336970136 PECOS PAC ID: 5395271878 Enrollment ID: I20241206002316 |
| Provider Name | Lindsay Bishop Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164253530 PECOS PAC ID: 1658807185 Enrollment ID: I20241209000089 |
| Provider Name | Caroline Victoria Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720802374 PECOS PAC ID: 2769910058 Enrollment ID: I20250114003880 |
| Mailing Address | Practice Location Address |
|---|---|
| East Tennessee Spine & Sport Inc 4905 N Broadway St, Knoxville, TN 37918-2315 Ph: (865) 689-8299 | East Tennessee Spine & Sport Inc 150 N Martinwood Rd, Suite 402, Knoxville, TN 37923-5124 Ph: (865) 691-5020 |
Ms. Suzanne Grace, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 Fort Sanders West Blvd, Suite 110, Knoxville, TN 37922 Phone: 865-558-4491 Fax: 865-558-4493 | |
Amanda Cardenas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8309 Asheville Hwy, Knoxville, TN 37924 Phone: 865-932-1334 | |
Emily R. Franklin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9333 Park West Blvd, Suite 102, Knoxville, TN 37923 Phone: 865-470-2696 | |
Caleb Satterfield, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4635 Greenway Dr Unit B, Knoxville, TN 37918 Phone: 865-546-0801 | |
Caitlin Souther, Physical Therapist Medicare: Medicare Enrolled Practice Location: 11201 W Point Dr Ste 104, Knoxville, TN 37934 Phone: 865-392-6001 | |
Darlene Faith Starner, PT, MED Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1932 Falling Waters Rd, Knoxville, TN 37922 Phone: 865-406-7129 Fax: 865-951-7273 | |
Sarah Carter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9430 Park West Blvd Ste 230, Knoxville, TN 37923 Phone: 865-560-8550 Fax: 865-560-8551 |