Provider Demographics
NPI:1427264555
Name:SHUGART, AMY HILL (PT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:HILL
Last Name:SHUGART
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11509 WOODCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-4858
Mailing Address - Country:US
Mailing Address - Phone:865-936-3455
Mailing Address - Fax:865-671-2070
Practice Address - Street 1:10710 MURDOCK DR STE 102
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932
Practice Address - Country:US
Practice Address - Phone:865-936-3455
Practice Address - Fax:865-671-2070
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN50672251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1510845Medicaid