SOUTHEAST SPINE AND REHAB CORP. (NPI# 1588890891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588890891 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST SPINE AND REHAB CORP. |
| Practice Address |
209 E Moody Ave Knoxville TN 37920-4203 |
| Practice Telephone | 8655775757 |
| Mailing Telephone | 8655775757 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-29 |
| Authorized Official Name | DR. GREG KOMESHAK (OWNER) |
| Authorized Official Telephone | 8655775757 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
DC0000002320 | TN | Chiropractic Providers |
| Street Address |
209 E MOODY AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952600777 | Activize Knoxville Chiropractic Clinic | Chiropractor | 1645 Downtown West Blvd Unit 34, Knoxville, TN 37919-5411 | 2011-03-18 |
| 1720256357 | Genesis Chiropractic, Plc | Chiropractor | 7786 Emory Chase Ln, Knoxville, TN 37918-6147 | 2008-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811304439 | Memphis Spine and Rehab Center, Pllc | Chiropractor | 2645 Appling Rd Ste 103, Memphis, TN 38133-5088 | 2014-07-15 |
| 1831500826 | Robert Guy Atkins II | Chiropractor | 3173 Larkspur Dr, Memphis, TN 38111-2907 | 2014-05-13 |
| 1063768323 | Jonathan Elson | Chiropractor | 9927 Sam Donald Ct, Suite D, Nolensville, TN 37135-9413 | 2012-07-24 |
| 1073836342 | Derek Alan Leist | Chiropractor | 204 Ward Cir, Suite 300, Brentwood, TN 37027-7551 | 2010-03-01 |
| 1053649384 | Williams Family Chiropractic, LLC | Chiropractor | 2039 Munson Rd, Memphis, TN 38134-6701 | 2009-11-24 |
| 1861698284 | Absolute Care Chiropractic P.C. | Chiropractor | 4811 Trousdale Dr Ste D, Nashville, TN 37220-1323 | 2007-06-22 |
| 1164628749 | Priorityone Rehab | Chiropractor | 6410 Charlotte Pike Ste 101 A, Nashville, TN 37209-2970 | 2007-06-21 |
| 1972718195 | Steven Lee Woods | Chiropractor | 2145 Hamill Rd, Hixson, TN 37343-4028 | 2007-05-11 |
| 1225250699 | Tennessee Spine and Rehab, Pllc | Chiropractor | 7000 Lee Hwy, Ste 900, Chattanooga, TN 37421-1799 | 2007-05-03 |
| 1184747271 | Thomas Koontz | Chiropractor | 1996 Exeter Rd, Germantown, TN 38138-3949 | 2007-04-06 |
| Find all providers with the same taxonomy | ||||
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| 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.