SUMMIT PHYSICAL THERAPY, LLC (NPI# 1376796342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376796342 |
| Entity Type | Organization |
| Organization Name | SUMMIT PHYSICAL THERAPY, LLC |
| Practice Address |
1790 Hamill Rd Hixson TN 37343-5179 |
| Practice Telephone | 4238429322 |
| Mailing Telephone | 4238429322 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2013-08-27 |
| Authorized Official Name | KEVIN KOSTKA (MEMBER) |
| Authorized Official Telephone | 4236056441 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740793413 | Summit Physical Therapy, LLC | Physical Therapist | 351 Nc Highway 194 S, West Jefferson, NC 28694-9110 | 2017-11-15 |
| 1891226718 | Summit Physical Therapy, LLC | Physical Therapist | 11940 W Central Ave Ste 106, Wichita, KS 67212-5180 | 2017-03-22 |
| 1609020700 | Summit Physical Therapy, LLC | Occupational Therapist | 13921 Plumbrook, Sterling Hts, MI 48312 | 2008-11-17 |
| 1396825840 | Summit Physical Therapy, LLC | Physical Therapist | 5310 Merchandise Dr, Fort Wayne, IN 46825-5140 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Summit Physical Therapy, LLC | 162 Mountain Road, Suffield, CT 06078 |
| Street Address |
1790 HAMILL RD |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-5179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265494876 | Kevin Kostka | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-4905 | 2006-04-06 |
| 1336631605 | John Charles Gilpin | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2018-06-03 |
| 1376055905 | William Thomas Payne | Occupational Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2017-11-05 |
| 1669920914 | Emily Allwine | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2016-09-15 |
| 1326498353 | Lindsey L Swinson | Occupational Therapy Assistant | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2016-06-21 |
| 1831549989 | Nicholas Feira | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2016-06-20 |
| 1487041141 | Brian Porbansky | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2015-04-21 |
| 1477965762 | Ethan Braytenbah | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2014-05-21 |
| 1871915066 | Steven Asbury | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2014-01-08 |
| 1316285463 | Angela Cross | Physical Therapist | 1790 Hamill Rd, Hixson, TN 37343-5179 | 2013-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295128478 | Deanna Lynn Ray | Clinic/Center | 8547 Dallas Oaks Ln, Hixson, TN 37343-5948 | 2015-03-11 |
| 1114178357 | Agilitas Usa Inc | Clinic/Center | 2177 Northpoint Blvd Ste 101, Hixson, TN 37343-8008 | 2008-10-07 |
| 1538226840 | Mcm Rehabilitation, LLC. | Clinic/Center | 2125 Northpoint Blvd, Hixson, TN 37343-4072 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717271 | Agilitas Usa, Inc | Clinic/Center | 109 Del Rio Pike Ste 105, Franklin, TN 37064-2578 | 2020-07-13 |
| 1033737689 | Therapy Plus LLC | Clinic/Center | 4108 Asheville Hwy, Knoxville, TN 37914-3505 | 2020-07-10 |
| 1235754888 | Robert Hutchens | Clinic/Center | 871 Ridgeway Loop Rd Ste 100, Memphis, TN 38120-4026 | 2020-06-09 |
| 1841815628 | Mndfl Physio LLC | Clinic/Center | 405 Midnight Sun Cir, Nashville, TN 37211-6822 | 2020-06-08 |
| 1427678069 | Pro Care Physical Therapy, LLC | Clinic/Center | 105 Center Park Dr Ste 101, Knoxville, TN 37922-3470 | 2020-04-23 |
| 1548892086 | Joshua Gibson | Clinic/Center | 1142 Cliffview Cir, Gray, TN 37615-5211 | 2020-02-11 |
| 1841822525 | Fagan Geriatric Wellness and Rehabilitation | Clinic/Center | 143 E Prince St, Gallatin, TN 37066-2880 | 2020-02-10 |
| 1255978003 | Archer Physical Therapy, LLC | Clinic/Center | 1206b N 8th St, Nashville, TN 37207-5526 | 2019-11-27 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1033750310 | Nashville Physical Therapy & Performance, Pllc | Clinic/Center | 15115 Old Hickory Blvd Ste C, Nashville, TN 37211-6585 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUMMIT PHYSICAL THERAPY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.