Healthcare Provider Details
I. General information
NPI: 1467547125
Provider Name (Legal Business Name): ORTHOTENNESSEE, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/04/2006
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
90 VERMONT AVE STE 301
OAK RIDGE TN
37830-6478
US
IV. Provider business mailing address
8320 E WALKER SPRINGS LN STE 200
KNOXVILLE TN
37923-3120
US
V. Phone/Fax
- Phone: 865-482-2390
- Fax: 865-482-2347
- Phone: 865-769-4500
- Fax: 865-769-4501
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QX0100X |
| Taxonomy | Occupational Medicine Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PIERCE
D
PEARSON
Title or Position: CEO
Credential:
Phone: 865-769-4502