NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

East Tennessee Physical Therapy LLC

Physical Therapy Clinic/Center in Maynardville, TN · enumerated 2015 · authorized official Dale Corum, Provider/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134504764

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name East Tennessee Physical Therapy LLC
Practice address 4357 Maynardville Hwy, Maynardville, TN, 37807
Phone (865) 745-1799
Fax (865) 745-1806
Enumeration date Jul 24, 2015
Last updated in NPPES Dec 29, 2022

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License 5712 (TN) Primary

Authorized official

Name Dale Corum
Title Provider/Owner
Phone (865) 745-1799

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is East Tennessee Physical Therapy LLC located?
The practice location on file with NPPES is in Maynardville, TN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-12-29. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-29.