Organization Active NPI

Bounceback Physical Therapy LLC

  • Physical Therapist
  • Hixson, TN
National Provider Identifier
1033956669
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BOUNCEBACK PHYSICAL THERAPY LLC
Practice address
1771 E Boy Scout Rd
Hixson, TN 37343-2528
Phone
(423) 212-3149
NPI assigned
Jul 11, 2024
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Chase HelgrenNPI 1861279937
Title
Manager
Phone
(423) 212-3149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1771 E Boy Scout Rd
Hixson, TN 37343-2528

Mailing address

6238 Rivoli Dr Apt 301
Hixson, TN 37343-4945

National Provider Directory

National Provider Directory

Locations

1771 E Boy Scout Rd
Hixson, TN 37343
Phone (423) 212-3149

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1033956669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6238 RIVOLI DR APT 301",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E BOY SCOUT RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373432528",
            "telephone_number": "423-212-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNCEBACK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "HELGREN",
        "authorized_official_first_name": "CHASE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-212-3149"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.