=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831657212
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KNOXVILLE SPINE & SPORTS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/05/2019
-----------------------------------------------------
Last Update Date | 12/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 430 MONTBROOK LN STE 203
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37919-2715
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-337-5574
-----------------------------------------------------
Fax | 865-313-2461
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 430 MONTBROOK LN STE 203
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37919-2715
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-337-5574
-----------------------------------------------------
Fax | 865-313-2461
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. JAMES B SOLOMON JR.
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 865-337-5574
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------