Provider Demographics
NPI:1871511402
Name:KARP, STEPHEN L (PT)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:L
Last Name:KARP
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 1:111 FOX RD SUITE 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922
Mailing Address - Country:US
Mailing Address - Phone:865-692-5114
Mailing Address - Fax:865-692-5115
Practice Address - Street 1:111 FOX RD
Practice Address - Street 2:SUITE 101
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922
Practice Address - Country:US
Practice Address - Phone:865-692-5114
Practice Address - Fax:865-692-5115
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7119225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ029879Medicaid
103I652913OtherMC
TN4136023OtherBLUE CROSS BLUE SHIELD
994176OtherAETNA
TN6092466OtherBCBS
TNCH4394OtherMEDICARE-RAILROAD GROUP ID