Chattanooga Sports Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6538 Issued in TN

Legal business name

CHATTANOOGA SPORTS THERAPY

Practice address

7430 Commons Blvd
Chattanooga, TN 37421-2669

Phone

(423) 499-9819

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Taylor Adam Kerley, PT, ATC, CSCSNPI 1043387822

Title

Director of Physical Therapy

Phone

(865) 384-1664

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taylor Adam Kerley, PT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1043387822
  Authorized official Same address or phone
• Erica Shay Butler, P.T.

  • Physical Therapist
  • Knoxville, TN
  • NPI 1710155585
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1083800494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N PETERS RD",
            "address_2": "SUITE 225",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222327",
            "telephone_number": "865-384-1664",
            "fax_number": "865-966-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 COMMONS BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212669",
            "telephone_number": "423-499-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA SPORTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "KERLEY",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "865-384-1664",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "6538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chattanooga Spine & Rehabilitation PLLC (Siskin Physical Medicine & Rehabilitation)
• Chattanooga Spine & Sport
• Chattanooga Spine Center PLLC
• Chattanooga Sports Chiropractic Institute, PLLC
• Chattanooga Sports Institute
• Chattanooga State Community College Student Health Clinic
• Chattanooga Supportive Services, Inc.
• Chattanooga Surgical Assistants LLC
• Chattanooga Surgical Oncology and Associates, PLLC
• Chattanooga Swallowing Services LLC

• Physical Therapy Clinic/Center in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.