Healthcare Provider Details

I. General information

NPI: 1225306533
Provider Name (Legal Business Name): ORTHOTENNESSEE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2011
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 FORT SANDERS WEST BLVD STE 200
KNOXVILLE TN
37922-3355
US

IV. Provider business mailing address

8320 E WALKER SPRINGS LN STE 200
KNOXVILLE TN
37923-3120
US

V. Phone/Fax

Practice location:
  • Phone: 865-558-4491
  • Fax: 865-558-4493
Mailing address:
  • Phone: 865-769-4500
  • Fax: 865-769-4501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: PIERCE D PEARSON
Title or Position: CEO
Credential:
Phone: 865-769-4502