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

Phyllis A Persicano

Individual provider Physical Therapist · NPI 1780510461

Phyllis A Persicano is a Physical Therapist in Private Practice in Knoxville, Tennessee. Qualified in 1988, 38 years ago. Practices as a sole proprietor. Licensed in Tennessee.

Years since qualifying
38
Licensed in
TN
In the registry since
2026
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Practice location Address checks out

801 Vanosdale Rd
Knoxville, TN 37909-2497
Phone: (865) 297-4966
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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 151224962 (TN)

Record details

NPI number1780510461
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 22, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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