Individual provider Active NPI

Michele April Boaz, P.T.

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1073646006
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7083 Issued in TN
Practice address
1100 E 3Rd St # G-103
Chattanooga, TN 37403-2241
Phone
(423) 778-2930
NPI assigned
Mar 13, 2007
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 7083 TN Primary

Addresses

Primary practice location

1100 E 3Rd St # G-103
Chattanooga, TN 37403-2241

Mailing address

87 Mill Stone LN
Ringgold, GA 30736-8168
Phone (423) 280-8261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251010003140 GA Practitioner - Physical Therapist in Private Practice 9931606290 Reassigns benefits to 1 organization
I20251028003635 TN Practitioner - Physical Therapist in Private Practice 9931606290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, shared by 11 NPIs, 504 clinicians

Practice addresses (Care Compare)

1809 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-7185
Phone (423) 648-0698

6986 Nashville St
Ringgold, GA 30736-2420
Phone (423) 778-3110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7083TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Aug 14, 2025 Accepting new patients
Erlanger Health CurrentSince Aug 14, 2025 Accepting new patients
Erlanger Health Physical Therapist CurrentSince Aug 14, 2025 Accepting new patients

Locations

1329 W Walnut Ave
Ste 1
Dalton, GA 30720
Phone (423) 778-9901

6986 Nashville St
Ringgold, GA 30736
Phone (423) 778-3110

1100 E 3rd St
#G103
Chattanooga, TN 37403
Phone (423) 778-2930

1100 E 3rd St
Ste G103
Chattanooga, TN 37403
Phone (423) 648-0698

1809 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 648-0698

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 3

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1073646006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 MILL STONE LN",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368168",
            "telephone_number": "423-280-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 3RD ST # G-103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032241",
            "telephone_number": "423-778-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAZ",
        "first_name": "MICHELE",
        "middle_name": "APRIL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.