CHATTANOOGA SPORTS THERAPY (NPI# 1083800494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083800494 |
Entity Type | Organization |
Organization Name | CHATTANOOGA SPORTS THERAPY |
Practice Address |
7430 Commons Blvd Chattanooga TN 37421-2669 |
Mailing Address |
308 N Peters Rd Suite 225 Knoxville TN 37922-2327 |
Practice Telephone | 4234999819 |
Mailing Telephone | 8653841664 |
Mailing Fax Number | 8659665976 |
Enumeration Date | 2007-09-19 |
Last Update Date | 2007-09-19 |
Authorized Official Name | MR. TAYLOR ADAM KERLEY (DIRECTOR OF PHYSICAL THERAPY) |
Authorized Official Telephone | 8653841664 |
Authorized Official Credential | PT, ATC, CSCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
6538 | TN | Ambulatory Health Care Facilities |
Street Address |
7430 COMMONS BLVD |
City | CHATTANOOGA |
State | TN |
Zip Code | 37421-2669 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447639513 | Kimsie Nicole Rafiel | Specialist/Technologist | 7430 Commons Blvd, Chattanooga, TN 37421-2669 | 2015-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
Find all providers in zip 37421 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215437785 | Alliance Physical Therapy | Clinic/Center | 1000 E 3rd St Ste 100b, Chattanooga, TN 37403-2106 | 2018-02-20 |
1194109025 | Agilitas Usa, Inc | Clinic/Center | 1736 Gunbarrel Rd Ste B, Chattanooga, TN 37421-3127 | 2015-07-09 |
1508422700 | Chelsea E Smith LLC | Clinic/Center | 3104 Greenwich Ave, Chattanooga, TN 37415-5825 | 2019-05-13 |
1932614484 | Agilitas Usa, Inc | Clinic/Center | 1651 Gunbarrel Rd Ste 301, Chattanooga, TN 37421-3291 | 2017-12-06 |
1114390606 | Agilitas Usa, Inc | Clinic/Center | 502 N Market St, Suite 102, Chattanooga, TN 37405-4438 | 2015-11-05 |
1588924443 | Ryan Ross | Clinic/Center | 1201 Market St, Chattanooga, TN 37402-2714 | 2012-05-24 |
1265723464 | Specialized Physical Therapy, Pllc | Clinic/Center | 6025 Lee Hwy Ste 445, Chattanooga, TN 37421-2966 | 2011-04-22 |
1164746400 | Agilitas Usa, Inc | Clinic/Center | 502 N Market St Ste 102, Chattanooga, TN 37405-4438 | 2010-03-16 |
1881922037 | Agilitas Usa, Inc. | Clinic/Center | 1525 Gunbarrel Rd Ste 105, Chattanooga, TN 37421-4832 | 2009-11-30 |
1659508604 | Chattanooga Physical Therapy | Clinic/Center | 605 Lindsay St, Chattanooga, TN 37403-3406 | 2009-06-17 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37421 |
Please comment or provide details below to improve the information on CHATTANOOGA SPORTS THERAPY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.