NPIMap

Organization Active NPI

Athletic Edge Physical Therapy

  • Rehabilitation Clinic/Center
  • Chattanooga, TN
National Provider Identifier
1043766975
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
10299 Issued in TN
Legal business name
ATHLETIC EDGE PHYSICAL THERAPY
Practice address
1440 Adams St Ste a
Chattanooga, TN 37408
Phone
(423) 402-0778
Fax
(186) 633-4026
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
Dr. Brandon Tyler Whitworth, DPTNPI 1538431192
Title
Owner/Physical Therapist
Phone
(631) 790-9798

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
Rehabilitation Clinic/Center 261QR0400X 10299 TN Primary

Addresses

Primary practice location

1440 Adams St Ste a
Chattanooga, TN 37408

Mailing address

PO Box 1132
Chattanooga, TN 37401-1132

National Provider Directory

National Provider Directory

Locations

1440 Adams St
Apt A
Chattanooga, TN 37408
Phone (423) 402-0778

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1043766975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1132",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374011132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ADAMS ST STE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37408",
            "telephone_number": "423-402-0778",
            "fax_number": "186-633-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC EDGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "WHITWORTH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-790-9798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TN",
            "license": "10299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.