PHYLLIS A PERSICANO
NPI 1780510461
Physical Therapist in Knoxville, TN

Active since June 22, 2026Accepts Medicare Assignment
801 VANOSDALE RD, KNOXVILLE, TN 37909(865) 297-4966 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phyllis A Persicano NPPES

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

PHYLLIS A PERSICANO (NPI 1780510461) is an individual physical therapist in Knoxville, Tennessee, licensed in Tennessee (151224962) and active in the NPI registry since June 2026. She is a graduate of Other (1988).

NPPES Registry Identity

NPI1780510461
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NamePHYLLIS A PERSICANO
Location Address801 VANOSDALE RDKnoxville, TN 37909-2497
Mailing Address5220 Jacksboro PikeKnoxville, TN 37918-2415 · (513) 379-7780
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJune 22, 2026
NPPES CertifiedJune 21, 2026
✔ NPI 1780510461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in TN · 151224962
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
801 VANOSDALE RD, Knoxville, TN 37909

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phyllis A Persicano is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022572973
PECOS Enrollment IDI20260710003550

Medicare Billing Reassignment

Medicare enrollment records show Phyllis Persicano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
10133 SHERRILL BLVD, SUITE 200
Knoxville, TN 37932
  • Reassigned Medicare billing, Tennessee enrollment
  • 55 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Physical Therapy Assistant
801 VANOSDALE RD
KNOXVILLE, TN 37909
Skilled Nursing Facility
801 VANOSDALE RD
KNOXVILLE, TN 37909
Skilled Nursing Facility
801 VANOSDALE RD
KNOXVILLE, TN 37909
Speech-Language Pathologist
801 VANOSDALE RD
KNOXVILLE, TN 37909
Physical Therapy Assistant
801 VANOSDALE RD
KNOXVILLE, TN 37909

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 Phyllis Persicano's NPI number?

The NPI number for Phyllis Persicano is 1780510461. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Where is Phyllis Persicano located?

Phyllis Persicano practices at 801 Vanosdale Rd, Knoxville, TN 37909. The listed phone number is (865) 297-4966.

What is Phyllis Persicano's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Phyllis Persicano enrolled in Medicare?

Yes. Phyllis Persicano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Phyllis Persicano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Persicano reassigns Medicare benefits to Functional Pathways Preferred Of Tennessee LLC (Knoxville, TN). The 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 Phyllis Persicano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Phyllis Persicano was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.