Individual provider Active NPI

Dylan Pieper, DPT

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1104305440
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11960 Issued in TN
Practice address
2020 Gunbarrel Rd Ste 408
Chattanooga, TN 37421-2663
Phone
(423) 238-1127
NPI assigned
Aug 8, 2018
Last updated
Aug 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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 11960 TN Primary

Addresses

Primary practice location

2020 Gunbarrel Rd Ste 408
Chattanooga, TN 37421-2663

Mailing address

2020 Gunbarrel Rd Ste 408
Chattanooga, TN 37421-2663

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181127003252 GA Practitioner - Physical Therapist in Private Practice 1850635186 Reassigns benefits to 2 organizations
I20181221002561 TN Practitioner - Physical Therapist in Private Practice 1850635186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Weston Group IncGroup PAC ID 8123936796, 215 clinicians

Practice addresses (Care Compare)

14 Fort Town Dr
Fort Oglethorpe, GA 30742-4051
Phone (610) 991-2034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Weston Group Inc. Physical Therapist CurrentSince Mar 16, 2020 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince May 1, 2020 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince May 1, 2020 Accepting new patients
The Weston Group Inc. Physical Therapist CurrentSince Mar 16, 2020 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Health Providers of America, LLC PastSince Sep 1, 2025 Accepting new patients

Locations

2725 Holcomb Bridge Rd
Alpharetta, GA 30022
Phone (770) 649-0808

660 Jolly Rd NW
Calhoun, GA 30701
Phone (239) 822-7947

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

Organizations & group practices 7

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1104305440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GUNBARREL RD STE 408",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GUNBARREL RD STE 408",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212663",
            "telephone_number": "423-238-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEPER",
        "first_name": "DYLAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11960",
            "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 Aug 8, 2018; 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.