=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750890943
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIMPLY PHYSIO LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2017
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 111 FOX ROAD STE 101
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37922-9000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-351-0615
-----------------------------------------------------
Fax | 865-622-9566
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 111 FOX RD STE 101
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37922-9000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-351-0615
-----------------------------------------------------
Fax | 865-622-9566
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/PHYSICAL THERAPIST
-----------------------------------------------------
Name | JOHN-MARK CHESNEY
-----------------------------------------------------
Credential | PT, DPT, OCS, CDNT
-----------------------------------------------------
Telephone | 865-351-0615
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2251X0800X
-----------------------------------------------------
Taxonomy Name | Orthopedic Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------