=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578475711
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ORIENTATION AND MOBILITY SERVICES OF TENNESSEE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/22/2026
-----------------------------------------------------
Last Update Date | 09/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 116 AGNES RD SUITE #200
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37919
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-535-2760
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1012 LINDEN ISLE DR
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37064-1470
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-535-2760
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/OPERATOR
-----------------------------------------------------
Name | ISAAC YORK
-----------------------------------------------------
Credential | COMS
-----------------------------------------------------
Telephone | 615-535-2760
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225CX0006X
-----------------------------------------------------
Taxonomy Name | Orientation and Mobility Training Rehabilitation Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------