PRO CARE PHYSICAL THERAPY, LLC (NPI# 1427678069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427678069 |
| Entity Type | Organization |
| Organization Name | PRO CARE PHYSICAL THERAPY, LLC |
| Practice Address |
105 Center Park Dr Ste 101 Knoxville TN 37922-3470 |
| Mailing Address |
2623 Brooke Willow Blvd Knoxville TN 37932-1894 |
| Practice Telephone | 8653353035 |
| Mailing Telephone | 8655918477 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | DR. LAUREN ELIZABETH MACGUIRE BOLLING (MANAGER AND SOLE MEMBER) |
| Authorized Official Telephone | 8655918477 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2623 Brooke Willow Blvd, Knoxville, TN 379321894 | 8655918477 |
| Street Address |
105 CENTER PARK DR STE 101 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-3470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737689 | Therapy Plus LLC | Clinic/Center | 4108 Asheville Hwy, Knoxville, TN 37914-3505 | 2020-07-10 |
| 1639681877 | Max Kids Physical Therapy, LLC | Clinic/Center | 980 E Emory Rd, Knoxville, TN 37938-4617 | 2017-10-27 |
| 1497274997 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 10914 Kingston Pike, Knoxville, TN 37934-2944 | 2017-09-15 |
| 1114229226 | Forward Physical Therapy,llc | Clinic/Center | 9215 Middlebrook Pike, Suite 400, Knoxville, TN 37931-4737 | 2010-11-22 |
| 1528382868 | Agilitas Usa, Inc | Clinic/Center | 1128 E Weisgarber Rd Ste 220, Knoxville, TN 37909-2676 | 2010-03-16 |
| 1659593119 | Agilitas Usa, Inc | Clinic/Center | 11130 Kingston Pike Ste 3, Knoxville, TN 37934-2800 | 2007-05-03 |
| 1760510739 | Physiotherapy Associates Inc | Clinic/Center | 8458 Gleason Dr Apt 335, Knoxville, TN 37919-5491 | 2007-03-01 |
| 1689605610 | Brenda Rasch, Pt, PC | Clinic/Center | 9025 Strawflower Dr., Knoxville, TN 37922-1460 | 2006-07-06 |
| 1437197829 | Physiotherapy Associates Inc | Clinic/Center | 970 E Emory Rd, Knoxville, TN 37938-4617 | 2006-06-04 |
| 1457977621 | Cryostretch LLC | Clinic/Center | 9411 S Northshore Dr Ste 101, Knoxville, TN 37922-8820 | 2020-06-23 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.