SPIRIT PROSTHETICS (NPI# 1992976013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992976013 |
| Entity Type | Organization |
| Organization Name | SPIRIT PROSTHETICS |
| Practice Address |
211 E Blount Ave Suite 701 Knoxville TN 37920-1614 |
| Mailing Address |
4728 Tillery Rd Knoxville TN 37912-5400 |
| Practice Telephone | 8655494599 |
| Practice Fax Number | 8655494598 |
| Mailing Telephone | 8653633513 |
| Mailing Fax Number | 8655494598 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | MR. BRIAN D JOHNSON (OWNER/PROSTHETIST) |
| Authorized Official Telephone | 8653633513 |
| Authorized Official Credential | CP, LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0900X |
Clinic/Center Specialization: Amputee |
PRO0000000113 | TN | Ambulatory Health Care Facilities |
| Street Address |
211 E BLOUNT AVE SUITE 701 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992770895 | Christopher E Sawyer | Family Medicine | 211 E Blount Ave, Suite 3, Knoxville, TN 37920-1614 | 2006-02-22 |
| 1710009956 | Family Care of East Tn, Pllc | Family Medicine | 211 E Blount Ave, Suite 3, Knoxville, TN 37920-1614 | 2007-04-06 |
| 1538223326 | William S Folley | Specialist | 211 E Blount Ave, Suite 507, Knoxville, TN 37920-1614 | 2006-12-19 |
| 1184787855 | Douglas E Holland | Specialist | 211 E Blount Ave, Suite 507, Knoxville, TN 37920-1614 | 2006-12-18 |
| 1437212842 | Michael D Phillips | Specialist | 211 E Blount Ave, Suite 507, Knoxville, TN 37920-1614 | 2006-12-18 |
| 1578626065 | Erik E Geibig | Specialist | 211 E Blount Ave, Suite 507, Knoxville, TN 37920-1614 | 2006-12-18 |
| 1942363379 | Stephen A Russell | Emergency Medicine | 211 E Blount Ave, Suite 507, Knoxville, TN 37920-1614 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 261QA0900X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Amputee |
| An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs. |
| Notes: [7/1/2003: new] |
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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.