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

Matthew T Lavelle, PA

Individual provider Physician Assistant · NPI 1306882345

Matthew T Lavelle, PA is a Physician Assistant in Lenoir City, Tennessee. Graduated from State University of New York at Stony Brook, School of Medicine in 2004, 22 years ago. Practices with Physiotherapy Associates Inc, a 1,458-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
22
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
TN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

423 Medical Park Dr Ste 100
Lenoir City, TN 37772-5640
Phone: (865) 271-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1183 (TN)

Record details

NPI number1306882345
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Physiotherapy Associates Inc — 1458 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Other providers in Lenoir City