Dizzy Physical Therapist LLC

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

Legal business name

DIZZY PHYSICAL THERAPIST LLC

Practice address

404 Lark LN
Chattanooga, TN 37415-1902

Phone

(262) 442-2188

NPI assigned

Dec 3, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Bambrough, DPTNPI 1164024816

Title

Owner

Phone

(262) 442-2188

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Bambrough, DPT

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1164024816
  Medicare reassignment NPD Authorized official
• Christopher Rajan Merchant, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Chattanooga, TN
  • NPI 1598361644
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1033877352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LARK LN",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374151902",
            "telephone_number": "262-442-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 LARK LN",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374151902",
            "telephone_number": "262-442-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIZZY PHYSICAL THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "BAMBROUGH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-442-2188",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.thedizzypt.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Physical therapy",
            "address_1": "404 Lark Ln",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374151902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ginger Jones Dizon, CRNA
• Samantha Meghan Dmochowski, NP
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• Robert Dobrowolski, DC
• Dobson Chiropractic LLC
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• Neurology Physical Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Neurology Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.