East Tennessee Physical Therapy LLC
NPI 1134504764 · Physical Therapy Clinic/Center · Maynardville, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Tennessee Physical Therapy LLC is a Physical Therapy Clinic/Center organization in Maynardville, TN (NPI 1134504764).
Provider details
- NPI number
- 1134504764
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dale Corum, Provider/Owner(865) 745-1799
- License
- 5712 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-07-24
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Frequently asked questions
- What is East Tennessee Physical Therapy LLC's NPI number?
- East Tennessee Physical Therapy LLC's National Provider Identifier (NPI) is 1134504764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Tennessee Physical Therapy LLC?
- East Tennessee Physical Therapy LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is East Tennessee Physical Therapy LLC located?
- East Tennessee Physical Therapy LLC's practice location on file with NPPES is 4357 Maynardville Hwy, Maynardville, TN 37807.
- What is East Tennessee Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for East Tennessee Physical Therapy LLC is (865) 745-1799.
- Does East Tennessee Physical Therapy LLC accept Medicare?
- East Tennessee Physical Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Tennessee Physical Therapy LLC?
- The authorized official listed on East Tennessee Physical Therapy LLC's NPPES record is Dale Corum, Provider/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Tennessee Physical Therapy LLC's NPI active?
- Yes — East Tennessee Physical Therapy LLC's NPI (1134504764) is active in the NPPES registry as of the last update on 2022-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.