Individual provider Active NPI

Jill Stone, PT

  • Physical Therapist
  • Ooltewah, TN
National Provider Identifier
1053463307
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7967 Issued in TN
Practice address
9380 Bradmore LN Ste 100
Ooltewah, TN 37363-4435
Phone
(423) 842-9322
Fax
(866) 591-0619
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7967 TN Primary

Addresses

Primary practice location

9380 Bradmore LN Ste 100
Ooltewah, TN 37363-4435

Mailing address

4109 Mountain View Ave Ste 100
Chattanooga, TN 37415-2096
Phone (423) 842-9322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121204000054 TN Practitioner - Physical Therapist in Private Practice 2668417999 Reassigns benefits to 1 organization
I20130308000138 GA Practitioner - Physical Therapist in Private Practice 2668417999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Alabama School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Physical Therapy, LLCGroup PAC ID 5799840211, 24 clinicians

Practice addresses (Care Compare)

9380 Bradmore LN
Suite 100
Ooltewah, TN 37363-4435
Phone (423) 842-9322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7967TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physical Therapy, LLC Current Accepting new patients
Summit Physical Therapy, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Nesin Therapy Services, P.C. PastSince Jul 12, 2006 Accepting new patients
Summit Physical Therapy Physical Therapist Past Accepting new patients
Star Physical Therapy LP Physical Therapist Past Accepting new patients
Star Physical Therapy LP Past Accepting new patients

Locations

6131 Shallowford Rd
Ste 101
Chattanooga, TN 37421

2020 Gunbarrel Rd
Ste 408
Chattanooga, TN 37421
Phone (423) 508-4461

4109 Mountain View Ave
Ste 100
Chattanooga, TN 37415

1790 Hamill Rd
Hixson, TN 37343
Phone (423) 362-4381

9380 Bradmore Ln
Ste 100
Ooltewah, TN 37363
Phone (423) 661-3246

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1053463307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 MOUNTAIN VIEW AVE STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374152096",
            "telephone_number": "423-842-9322",
            "fax_number": "866-591-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 BRADMORE LN STE 100",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634435",
            "telephone_number": "423-842-9322",
            "fax_number": "866-591-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "JILL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.