Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISSION HOPE PEDIATRIC THERAPY LLC
NPI 1013553304
Speech-Language Pathologist in Maynardville, TN

Active since November 21, 2019
3925 MAYNARDVILLE HWY STE 1, MAYNARDVILLE, TN 37807(865) 585-1307 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2026, Aug 26, 2026, Mar 24, 2025 and 2 more (5 updates tracked since 2019).

About Mission Hope Pediatric Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSION HOPE PEDIATRIC THERAPY LLC (NPI 1013553304) is a healthcare organization registered as a speech-language pathologist in Maynardville, Tennessee and active in the NPI registry since November 2019. The organization maintains 2 additional practice locations and lists Brittany Buckner, Owner, as its authorized official.

NPPES Registry Identity

NPI1013553304
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameMISSION HOPE PEDIATRIC THERAPY LLC
Location Address3925 MAYNARDVILLE HWY STE 1Maynardville, TN 37807-3552
Mailing Address3925 Maynardville Hwy Ste 1Maynardville, TN 37807-3552
Organization SubpartNo
Authorized OfficialBrittany BucknerOwner · (865) 585-1307
Enumeration DateNovember 21, 2019
Last NPPES UpdateOctober 27, 20265 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1013553304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
3925 MAYNARDVILLE HWY STE 1, Maynardville, TN 37807

Secondary Practice Locations 2

Location 110579 Cedar Grove Rd Ste 120Smyrna, TN 37167-8385 · Phone (615) 462-6233 · Fax (865) 951-7281
Location 2514 Cross St Ste BNew Tazewell, TN 37825-7155 · Phone (423) 441-1276

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mission Hope Pediatric Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Mission Hope Pediatric Therapy LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Physical Therapist in Private Practice
NPI 1376176867
3925 MAYNARDVILLE HWY STE 1
Maynardville, TN 37807
(865) 333-4673
Same address
Occupational Therapist in Private Practice
NPI 1679246458
3925 MAYNARDVILLE HWY STE 1
Maynardville, TN 37807
(865) 333-4673
Same address
Qualified Speech Language Pathologist
NPI 1346024551
3925 MAYNARDVILLE HWY STE 1
Maynardville, TN 37807
(865) 333-4673
Same address
Physical Therapist in Private Practice
NPI 1295553303
3925 MAYNARDVILLE HWY STE 1
Maynardville, TN 37807
(865) 333-4673
Same address
Qualified Speech Language Pathologist
NPI 1518649177
3925 MAYNARDVILLE HWY STE 1
Maynardville, TN 37807
(865) 333-4673
Same address
Qualified Speech Language Pathologist
NPI 1265913461
3925 MAYNARDVILLE HWY STE 1
Maynardville, TN 37807
(865) 745-9007
Same address
Qualified Speech Language Pathologist
NPI 1578286696
310 CORPORATE DR STE 101
Knoxville, TN 37923
(865) 693-5622
28 mi
Qualified Speech Language Pathologist
NPI 1336917293
10579 CEDAR GROVE RD STE 120
Smyrna, TN 37167
(615) 462-6233
155 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mission Hope Pediatric Therapy LLC's NPI number?

The NPI number for Mission Hope Pediatric Therapy LLC is 1013553304. It was assigned to this organization in the NPPES registry on November 21, 2019.

Where is Mission Hope Pediatric Therapy LLC located?

Mission Hope Pediatric Therapy LLC is located at 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807. The listed phone number is (865) 585-1307.

What is Mission Hope Pediatric Therapy LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Mission Hope Pediatric Therapy LLC enrolled in Medicare?

Yes. Mission Hope Pediatric Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mission Hope Pediatric Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Mission Hope Pediatric Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Qualified Speech Language Pathologist (5), Physical Therapist in Private Practice (2) and Occupational Therapist in Private Practice (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mission Hope Pediatric Therapy LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mission Hope Pediatric Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mission Hope Pediatric Therapy LLC was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.