Individual provider Active NPI

Meredith Phillips Chaffin, PT

  • Physical Therapist
  • Bristol, TN
National Provider Identifier
1063659464
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2628 Issued in TN
Practice address
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone
(423) 844-4104
NPI assigned
Jan 7, 2009
Last updated
Jan 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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 2628 TN Primary

Addresses

Primary practice location

1 Medical Park Blvd
Bristol, TN 37620-7430

Mailing address

227 Lake Vista Cir
Piney Flats, TN 37686-3360
Phone (423) 391-1561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250308000008 TN Practitioner - Physical Therapist in Private Practice 4688195514 Reassigns benefits to 2 organizations
I20250403003725 VA Practitioner - Physical Therapist in Private Practice 4688195514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Health Services LLCGroup PAC ID 0244758449, 2 clinicians

Practice addresses (Care Compare)

401 Gordon Ave
Bristol, VA 24201-4106
Phone (205) 441-4517

636 Shelby St
Suite 202
Bristol, TN 37620-2238
Phone (205) 441-4517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2628TNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Orthopaedic Associates P C Current Accepting new patients
Appalachian Orthopaedic Associates P C CurrentSince Nov 16, 2024 Accepting new patients
Appalachian Orthopaedic Associates P C CurrentSince Nov 16, 2024 Accepting new patients
Appalachian Orthopaedic Associates P C CurrentSince Nov 16, 2024 Accepting new patients
Appalachian Health Services LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients

Locations

105 Meadow View Rd
Ste 4
Bristol, TN 37620
Phone (423) 844-6935

636 Shelby St
Ste 202
Bristol, TN 37620
Phone (205) 441-4517

3 Professional Park Dr
Ste 10
Johnson City, TN 37604
Phone (423) 926-4331

4105 Fort Henry Dr
Ste 300
Kingsport, TN 37663
Phone (423) 239-1550

16000 Johnston Memorial Dr
Ste 100
Abingdon, VA 24211
Phone (276) 258-1760

401 Gordon Ave
Bristol, VA 24201
Phone (205) 441-4517

338 Coeburn Ave SW
Norton, VA 24273
Phone (276) 679-0800

Interoperability endpoints

  • Direct secure messaging: meredith.chaffin.1@33859.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1063659464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LAKE VISTA CIR",
            "city": "PINEY FLATS",
            "state": "TN",
            "postal_code": "376863360",
            "telephone_number": "423-391-1561",
            "fax_number": "423-391-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFIN",
        "first_name": "MEREDITH",
        "middle_name": "PHILLIPS",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "2628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.