Provider Demographics
NPI:1518086396
Name:ROBINSON, WILLIAM F (PT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 VERMONT AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6474
Mailing Address - Country:US
Mailing Address - Phone:865-482-2390
Mailing Address - Fax:865-482-2347
Practice Address - Street 1:90 VERMONT AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6474
Practice Address - Country:US
Practice Address - Phone:865-482-2390
Practice Address - Fax:865-482-2347
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2017-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1507396Medicaid
TN3711622OtherMEDICARE PTAN
4172321OtherBLUECROSS BLUESHIELD
TN3650123Medicare PIN