Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Addison Wyckoff, PA-C

Individual provider Physician Assistant · NPI 1487249975

Addison Wyckoff, PA-C is a Physician Assistant in Knoxville, Tennessee. Qualified in 2020, 6 years ago. Practices with Physiotherapy Associates Inc, a 1,458-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6450 Kingston Pike Ste 2
Knoxville, TN 37919-4833
Phone: (865) 999-5988
Fax: (865) 540-6104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1487249975
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 5, 2021
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Physiotherapy Associates Inc — 1458 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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