Alliance PT Partners LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ALLIANCE PT PARTNERS LLC

Practice address

2020 Gunbarrel Rd.
Suite 408
Chattanooga, TN 37421-2663

Phone

(423) 238-1127

Fax

(423) 238-1277

NPI assigned

Apr 22, 2015

Last updated

May 24, 2021By 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. Allan E Valenzuela, PTNPI 1134179674

Title

President

Phone

(423) 240-0512

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104213685. Details of each certification follow.

• CCN 446715 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 446715

Legal name

ALLIANCE PT PARTNERS, LLC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Apr 19, 2016

Last certification

Sep 18, 2019

Ownership / control type

Proprietary

Facility address

2020 Gunbarrel Rd Ste 408
Chattanooga, TN 37421

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.

• Allan E Valenzuela, PT

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1134179674
  NPD (past) Authorized official
• Donavon Todd Howe, PT

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1831144807
  NPD (past)

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1104213685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GUNBARREL RD.",
            "address_2": "SUITE 408",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212663",
            "telephone_number": "423-238-1127",
            "fax_number": "423-238-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GUNBARREL RD.",
            "address_2": "SUITE 408",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212663",
            "telephone_number": "423-238-1127",
            "fax_number": "423-238-1277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15331 Rankin Ave",
            "address_purpose": "LOCATION",
            "city": "Dunlap",
            "state": "TN",
            "postal_code": "373277048",
            "country_code": "US",
            "telephone_number": "423-949-7246",
            "fax_number": "423-949-7247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLIANCE PT PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-240-0512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alliance Care Home LLC
• Alliance Eye Care PLLC
• Alliance Nemt LLC
• Alliance Physical Therapy, LLC
• Alliance Physical Therapy, LLC
• Allied Behavioral Services, Inc.
• Allied Community Supports
• Allied Eye Associates, P.L.L.C.
• Allied Optical Shop Inc.
• Allied Pediatrics PLLC

• 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 May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.