| 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 | Tyler Lucas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447641451 PECOS PAC ID: 4789902958 Enrollment ID: I20150420001096 |
| 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 | 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 | Kelsey Alexis Moyers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770013039 PECOS PAC ID: 3779854898 Enrollment ID: I20170808003998 |
| Provider Name | Mary Katherine Ford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164935375 PECOS PAC ID: 0941555874 Enrollment ID: I20180618003279 |
| 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 Zaveri |
|---|---|
| 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 | Victoria Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457841124 PECOS PAC ID: 5294156998 Enrollment ID: I20200604002993 |
| Provider Name | Nicolas Brewton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487262432 PECOS PAC ID: 7810312493 Enrollment ID: I20200729002886 |
| 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 | Markus Pelger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669063178 PECOS PAC ID: 1658788336 Enrollment ID: I20210324002572 |
| Provider Name | Megan Barnes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477163277 PECOS PAC ID: 2668873308 Enrollment ID: I20210701001288 |
| 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 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 | Matthew Abernethy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306530811 PECOS PAC ID: 4688033582 Enrollment ID: I20230711000954 |
| Provider Name | Justin Callis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861147415 PECOS PAC ID: 0547617607 Enrollment ID: I20231110000579 |
| Provider Name | Amy Tipton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235506130 PECOS PAC ID: 1850749052 Enrollment ID: I20231129000558 |
| 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 | |
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 | |
John D Staley Iii, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9430 Park West Blvd Ste 230, Knoxville, TN 37923 Phone: 865-560-8550 Fax: 865-560-8551 | |
Mr. Kenneth Woodruff, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9047 Executive Park Dr, Suite 115, Knoxville, TN 37923 Phone: 865-531-5820 Fax: 865-539-6461 | |
Mr. Lawrence Eric Lingren, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 Phone: 865-328-7370 |