MAX POTENTIAL REHAB INC (NPI# 1871810093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871810093 |
| Entity Type | Organization |
| Organization Name | MAX POTENTIAL REHAB INC |
| Practice Address |
7905 Cody Ln Knoxville TN 37938-3172 |
| Practice Telephone | 8657768761 |
| Mailing Telephone | 8657768761 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |
| Authorized Official Name | JASON MARTIN (OWNER) |
| Authorized Official Telephone | 8657768761 |
| Authorized Official Credential | BS, AS, PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302F00000X | Exclusive Provider Organization | 3409 | TN | Managed Care Organizations |
| N | 302R00000X | Health Maintenance Organization | 3409 | TN | Managed Care Organizations |
| N | 305S00000X | Point of Service | 3409 | TN | Managed Care Organizations |
| Y | 305R00000X | Preferred Provider Organization | 3409 | TN | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0000001518 | 05 |
| Street Address |
7905 CODY LN |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37938-3172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730359126 | Shoreline Docks Incorpprated | Occupational Therapy Assistant | 7905 Cody Ln, Knoxville, TN 37938-3172 | 2008-03-03 |
| 1336466556 | Jason Martin | Physical Therapy Assistant | 7905 Cody Ln, Knoxville, TN 37938-3172 | 2010-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698170 | Kaitlin Blankenship | Specialist/Technologist | 6800 Highbank Ln, Knoxville, TN 37938 | 2017-06-07 |
| 1336454529 | Wal-mart Stores East Lp | Technician/Technologist | 7550 Norris Freeway, Knoxville, TN 37938 | 2010-08-11 |
| 1093908733 | Steven M Burns | Physical Medicine & Rehabilitation | 970 E. Emory Rd, Knoxville, TN 37938 | 2007-08-27 |
| 1629131040 | Murray Mckinnon | Chiropractor | 4605 Mill Branch Lane, Knoxville, TN 37938 | 2006-12-18 |
| 1811356744 | Tennessee Health and Care Professionals, LLC | Respite Care | 7110 Texas Valley Rd, Knoxville, TN 37938-1601 | 2016-02-20 |
| 1790109981 | Rachel E. Enigk | Physician Assistant | 5247 Salem Church Rd, Knoxville, TN 37938-2144 | 2014-02-10 |
| 1003325994 | Sabrina Ponder | Registered Nurse | 4614 Nathan Dr, Knoxville, TN 37938-2527 | 2017-09-24 |
| 1871618363 | Michael David Sulack | Chiropractor | 713 E Emory Road, Knoxville, TN 37938-2856 | 2007-03-21 |
| 1396219333 | Emily Sweet | Occupational Therapist | 4312 Rare Earth Dr, Knoxville, TN 37938-2983 | 2019-01-13 |
| 1477923340 | Mary Ann Montemayor Wong | Physical Therapist | 7865 Thomas Henry Way, Knoxville, TN 37938-3044 | 2015-10-04 |
| Find all providers in zip 37938 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821296625 | Farragut Walk In Clinic | Preferred Provider Organization | 11408 Kingston Pike, Suite 400, Knoxville, TN 37934-3975 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609327246 | Ld&h Specialized Care Services | Preferred Provider Organization | 2260 Us-51, Helen R Tucker Adult Dev Center, Ripley, TN 38063 | 2016-10-19 |
| 1063876076 | Petre-jo LLC | Preferred Provider Organization | 607 W Due West Ave Ste 95, Madison, TN 37115-4415 | 2016-04-06 |
| 1417312562 | Germantown Dental | Preferred Provider Organization | 1324 4th Ave N, Nashville, TN 37208-2716 | 2015-12-16 |
| 1083081202 | United Therapy Network LLC | Preferred Provider Organization | 410 New Salem Hwy Ste 103, Murfreesboro, TN 37129-3361 | 2015-08-24 |
| 1497158885 | Rebeccah Fore | Preferred Provider Organization | 331 Plus Park Blvd. #150, Nashville, TN 37217 | 2014-09-30 |
| 1215349204 | Quality Care Services of Tennessee | Preferred Provider Organization | 7965 Meadow Vale Dr, Memphis, TN 38125-3121 | 2014-05-24 |
| 1235540576 | Absolute Ps, Inc. | Preferred Provider Organization | 404 Karstridge Rd, Smyrna, TN 37167-5132 | 2014-05-08 |
| 1730505173 | Reyland Health & Wellness Solutions | Preferred Provider Organization | 1138 Zirkle Rd, Dandridge, TN 37725-4234 | 2014-03-10 |
| 1992043111 | L.m. Walker & Associates, P.C. | Preferred Provider Organization | 4250 Faronia Rd Ste 4, Memphis, TN 38116-6527 | 2013-01-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MAX POTENTIAL REHAB INC.
| 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.