Pamela Bookout, PRT PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PAMELA BOOKOUT, PRT PC

Practice address

503 S Germantown Rd
Chattanooga, TN 37411-5028

Phone

(423) 622-2402

Fax

(423) 622-8778

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Jonathan Paul Schultheiss, CPA (INACTIVE), MS

Title

Operations Manager

Phone

(423) 622-2402

Specialties & licenses 1

Addresses

Other names 1

• Physical Therapy Services Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Pamela W Bookout, PT

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1952443350
  Medicare reassignment

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1053453472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1566",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374011566",
            "telephone_number": "423-622-2402",
            "fax_number": "423-622-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S GERMANTOWN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115028",
            "telephone_number": "423-622-2402",
            "fax_number": "423-622-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA BOOKOUT, PRT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "SCHULTHEISS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "423-622-2402",
        "authorized_official_credential": "CPA (INACTIVE), MS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physical Therapy Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Celesta Palmer, NCC
• Dayna Malissa Palmer
• Robert Palmer, SLP-CCC
• Sarah Palmer, MAT, LAT, ATC
• Jessica Palmier
• Justin Pan
• Mukta Panda, MD
• Lotika Pandit, MD
• Emma Panepucci, M.S. CCC-SLP
• Pearl Pangkey, PTA

• Physical Therapy Clinic/Center in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.