Active NPI
Laura Myers
- Physical Therapy Assistant
- Rossville, GA
National Provider Identifier
1053849067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 000688
- Practice address
- 1425 McFarland Ave
Rossville, GA 30741-2215 - Phone
- (706) 861-0863
- NPI assigned
- Jun 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 000688 | GA | Primary |
Addresses
Primary practice location
1425 McFarland Ave
Rossville, GA 30741-2215
Mailing address
301 Peachbloom Dr
Chattanooga, TN 37411-3127
Phone (423) 622-7628
Other practice location 1
301 Peachbloom Dr
Chattanooga, TN 37411-3127
Phone (423) 622-7628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000688 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053849067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 PEACHBLOOM DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374113127",
"telephone_number": "423-622-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 MCFARLAND AVE",
"city": "ROSSVILLE",
"state": "GA",
"postal_code": "307412215",
"telephone_number": "706-861-0863"
}
],
"practiceLocations": [
{
"address_1": "301 Peachbloom Dr",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374113127",
"country_code": "US",
"telephone_number": "423-622-7628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "000688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rossville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.