Healthcare Provider Details

I. General information

NPI: 1245317783
Provider Name (Legal Business Name): PROMPT PHYSICAL THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5822 LYONS VIEW PIKE
KNOXVILLE TN
37919-6460
US

IV. Provider business mailing address

5822 LYONS VIEW PIKE
KNOXVILLE TN
37919-6460
US

V. Phone/Fax

Practice location:
  • Phone: 865-588-6358
  • Fax: 865-909-9949
Mailing address:
  • Phone: 865-588-6358
  • Fax: 865-909-9949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT0000003376
License Number StateTN

VIII. Authorized Official

Name: MR. STEPHEN DOUGLAS BAILEY
Title or Position: PRESIDANT
Credential: P.T.
Phone: 865-588-6358