1. Home
  2. Directory
  3. Tennessee
  4. Knoxville
  5. Family Medicine
  6. NPI Profile

OSTEOPATHIC CENTER PLLC
NPI 1104236421
Family Medicine - Sports Medicine in Knoxville, TN

Active since May 08, 2014CLIA 44D2275502 · Waiver
9000 EXECUTIVE PARK DR, SUITE A210, KNOXVILLE, TN 37923(865) 321-1732(865) 321-1733 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Osteopathic Center Pllc NPPES

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

OSTEOPATHIC CENTER PLLC (NPI 1104236421) is a healthcare organization registered as a sports medicine in Knoxville, Tennessee and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Kristopher Js Goddard, Owner, as its authorized official.

NPPES Registry Identity

NPI1104236421
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameOSTEOPATHIC CENTER PLLC
Location Address9000 EXECUTIVE PARK DR, SUITE A210Knoxville, TN 37923-4685
Mailing Address9000 Executive Park Dr, Suite A210Knoxville, TN 37923-4685 · (865) 321-1732 · Fax (865) 321-1733
Phone(865) 321-1732
Fax(865) 321-1733
Organization SubpartNo
Authorized OfficialKristopher Js GoddardOwner · (865) 321-1732
Enumeration DateMay 8, 2014
Last NPPES UpdateOctober 25, 2016
✔ NPI 1104236421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in TN · DO0000002081
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
9000 EXECUTIVE PARK DR, Knoxville, TN 37923
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2275502

Osteopathic Center, The · Knoxville, TN
Active · expires Jan 23, 2027
CLIA Number44D2275502
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorKristopher Goddard
Laboratory Phone(865) 321-1732
Laboratory LocationOsteopathic Center, The166 Market Place Blvd, Knoxville, TN 37922
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATHERINE WILLIAMS BECK APN-BC
Nurse Practitioner (Adult Health)
9000 EXECUTIVE PARK DR, SUITE A250
KNOXVILLE, TN 37923
Knox County (865) 531-4724
DR. SAMIR AL-KABBANI MD
Psychiatry & Neurology (Neurology)
9000 EXECUTIVE PARK DR, A207
KNOXVILLE, TN 37923
Knox County (865) 531-9430
MARGARET A BICKLEY OTR
Occupational Therapist
9000 EXECUTIVE PARK DR, SUITE 205A NHC HOMECARE
KNOXVILLE, TN 37923
Knox County (865) 539-0242
MRS. JESSICA SUZANNE CROSS OTR/L
Occupational Therapist
9000 EXECUTIVE PARK DR
KNOXVILLE, TN 37923
Knox County (865) 539-0242
MRS. KRISTY LYNETTE WILLIAMS FNP
Nurse Practitioner (Family)
9000 EXECUTIVE PARK DR
KNOXVILLE, TN 37923
Knox County (865) 670-6792
SURGICAL ONCOLOGY ASSOCIATES
Surgery (Surgical Oncology)
9000 EXECUTIVE PARK DR, C200
KNOXVILLE, TN 37923
Knox County (865) 670-6132
MS. JACQUELINE LOU AYERS D.PH., CGP
Pharmacist (Geriatric)
9000 EXECUTIVE PARK DR, SUITE A-204
KNOXVILLE, TN 37923
Knox County (865) 531-0008
MR. BRADLEY ALLEN MOORE PT, MS
Physical Therapist
9000 EXECUTIVE PARK DR, SUITE A-205
KNOXVILLE, TN 37923
Knox County (865) 539-0242

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 Osteopathic Center PLLC's NPI number?

The NPI number for Osteopathic Center PLLC is 1104236421. It was assigned to this organization in the NPPES registry on May 8, 2014.

Where is Osteopathic Center PLLC located?

Osteopathic Center PLLC is located at 9000 Executive Park Dr Suite A210, Knoxville, TN 37923. The listed phone number is (865) 321-1732.

What is Osteopathic Center PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Does Osteopathic Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2275502) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Osteopathic Center PLLC was last updated on October 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.