Functional Pathways Preferred Of Tennessee Llc

LBN: Functional Pathways Preferred Of Tennessee Llc
Functional Pathways Preferred Of Tennessee Llc is an health care organization with primary practice located at 10133 Sherrill Blvd Suite 200, Knoxville TN 37932-3347. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Functional Pathways Preferred Of Tennessee Llc can be contacted via phone (888) 531-2204, or through Mccullough, Traci L via phone (888) 531-2204.

Contact Information

Primary practice address
10133 Sherrill Blvd Suite 200 Knoxville TN 37932-3347
Phone: (888) 531-2204
Fax: (855) 232-8604
Website:
Map and Directions
Authorized official contact:
Name: Mccullough, Traci L
Phone: (888) 531-2204

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1841561446
LBN Legal business name Functional Pathways Preferred Of Tennessee Llc
DBA Doing business as
Authorized official Mccullough, Traci L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2012
Last updated Jan 19th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841561446 NPPES
Wisconsin MEDICAID 100098417

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