Tennessee Physical Therapy Services of Kingsport, LLC
NPI 1174085112ActiveOrganization· Physical Therapist· Kingsport, TN
Physical Therapist in Kingsport, Tennessee, registered in NPPES in April 2019. The authorized official on file is Joshua L. Proffitt, President.
Overview
| NPI | 1174085112 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2019 |
| Last updated in NPPES | Jul 22, 2024 |
| Certified by provider | Jul 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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