Provider Demographics
NPI:1912026501
Name:FOOTHILLS PHYSICAL THERAPY OF SEVIERVILLE
Entity Type:Organization
Organization Name:FOOTHILLS PHYSICAL THERAPY OF SEVIERVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:STRIKE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:865-428-6300
Mailing Address - Street 1:549 DOLLY PARTON PKWY
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-3611
Mailing Address - Country:US
Mailing Address - Phone:865-428-6300
Mailing Address - Fax:865-428-3085
Practice Address - Street 1:549 DOLLY PARTON PKWY
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-3611
Practice Address - Country:US
Practice Address - Phone:865-428-6300
Practice Address - Fax:865-428-3085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000002135225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3650992Medicare ID - Type Unspecified