Provider Demographics
NPI:1588875181
Name:HEALTH EMPOWERED REHABILITATION INC
Entity type:Organization
Organization Name:HEALTH EMPOWERED REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JERZY
Authorized Official - Middle Name:JULIUSZ
Authorized Official - Last Name:TWOREK
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:865-691-6696
Mailing Address - Street 1:9217 PARK WEST BLVD
Mailing Address - Street 2:STE D2
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4420
Mailing Address - Country:US
Mailing Address - Phone:865-691-6696
Mailing Address - Fax:865-691-8479
Practice Address - Street 1:9217 PARK WEST BLVD
Practice Address - Street 2:STE D2
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4404
Practice Address - Country:US
Practice Address - Phone:865-691-6696
Practice Address - Fax:865-691-8479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2015-04-14
Deactivation Date:2008-06-23
Deactivation Code:
Reactivation Date:2008-06-30
Provider Licenses
StateLicense IDTaxonomies
TNPT0000004227225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4185870OtherBCBS
TN4185870OtherBCBS