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

Mr. Timothy Dean Douglass, PT

Individual provider Physical Therapist · NPI 1245319185

Mr. Timothy Dean Douglass, PT is a Physical Therapist in Private Practice in Knoxville, Tennessee. Qualified in 2000, 26 years ago. Practices with Provision Physical Therapy, a 4-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
26
Licensed in
TN
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1400 Dowell Springs Blvd Ste 120
Knoxville, TN 37909-2456
Phone: (865) 232-1415
Fax: (865) 232-1416
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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 PT0000006307 (TN)

Record details

NPI number1245319185
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 3, 2006
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Provision Physical Therapy — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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