Provider Demographics
NPI:1952331274
Name:BEYOND PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:BEYOND PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOMASZ
Authorized Official - Middle Name:STEFAN
Authorized Official - Last Name:GRASS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:865-566-0100
Mailing Address - Street 1:9257 MIDDLEBROOK PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-4700
Mailing Address - Country:US
Mailing Address - Phone:865-566-0100
Mailing Address - Fax:865-566-0099
Practice Address - Street 1:9257 MIDDLEBROOK PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-4700
Practice Address - Country:US
Practice Address - Phone:865-566-0100
Practice Address - Fax:865-566-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3725571Medicare PIN
TN5561880001Medicare NSC