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

Michael Shouse

Individual provider Physical Therapist · NPI 1134543085

Michael Shouse is a Physical Therapist in Private Practice in Kingsport, Tennessee. Qualified in 2013, 13 years ago. Practices with Agilitas USA, Inc, a 810-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
13
Licensed in
TN
In the registry since
2014
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Practice location Address checks out

1704 E Stone Dr Ste 120
Kingsport, TN 37660-4679
Phone: (423) 765-0985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 9916 (TN)

Record details

NPI number1134543085
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 13, 2014
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingsport