IndividualActiveAccepts Medicare

James Higginson, DPT

NPI 1982259529 · Physical Therapist · Knoxville, TN

Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1982259529
Entity type: Individual
Primary specialty: Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: DPT
Sex: Male
Sole proprietor: Yes
License: PT004178 (WV)

Specialties & taxonomies

Physical TherapistPrimary225100000XLicense PT004178 (WV)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
6 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
342 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. 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.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Therapy Procedure Using Manual Technique, Each 15 Minutes97140	130	$22
Therapy Procedure Using Functional Activities97530	117	$38
Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112	95	$30

Typical Medicare-allowed amounts for these services range $22–$38 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Practice location

150 N Martinwood Rd Ste D402

Knoxville, TN 37923-5124

Phone: (865) 691-5020

Street-level locationGet directions

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Mailing address

150 N Martinwood Rd