Nina Newkirk-Pulliam

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13480 Issued in TN

Practice address

9332 Dayton Pike Ste 104
Soddy Daisy, TN 37379-4861

Phone

(423) 332-9490

NPI assigned

May 5, 2021

Last updated

Jun 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Independent Physical Therapy, LLC

  dba BenchMark Physical Therapy

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1104878354
  Medicare reassignment NPD
• Excel Rehabilitation and Sports

  dba Excel Rehabilitation and Sports Enhancement LLC

  • Physical Therapist
  • Clemson, SC
  • NPI 1740358324

  TN

  Medicare reassignment NPD
• Excel Rehabilitation and Sports

  dba Accelerated Physical Therapy

  • Physical Therapist
  • Greenville, SC
  • NPI 1952272379
  NPD

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1053994137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 ALABAMA AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091363",
            "telephone_number": "912-257-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 DAYTON PIKE STE 104",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794861",
            "telephone_number": "423-332-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWKIRK-PULLIAM",
        "first_name": "NINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Elaine Miller, RN
• Kelly D Miller, APN
• Stephanie Miller
• Brent S Morris, M.D.
• Deborah Mullins
• Joshua Ryan Owensby, PHARMD
• Giselle Monee Esmeralda Paredes, PA-C
• Parkridge Medical Center, Inc. (Parkridge Soddy-Daisy ER, a department of Parkridge Medical Center)
• Jennifer Pastusic, LCSW
• Kathleen Nicole Perez, ATC

• Physical Therapist in Soddy Daisy, TN
• Providers in Soddy Daisy, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.