Individual provider Active NPI

Vanessa Tootle, P.T.

  • Physical Therapist
  • Savannah, GA
National Provider Identifier
1134427339
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007017 Issued in GA
Practice address
4425 Paulsen St
Building a
Savannah, GA 31405-3662
Phone
(912) 525-1280
Fax
(912) 354-5970
NPI assigned
Mar 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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 PT007017 GA Primary

Addresses

Primary practice location

4425 Paulsen St
Building a
Savannah, GA 31405-3662

Mailing address

4425 Paulsen St
Building a
Savannah, GA 31405-3662
Phone (912) 525-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000213 GA Practitioner - Physical Therapist in Private Practice 7618153628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chatham Orthopaedic Associates PAGroup PAC ID 8022910306, 55 clinicians

Practice addresses (Care Compare)

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
83.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007017GAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Effingham Orthopedic Practice, LLC CurrentSince Jan 1, 2017 Accepting new patients
Chatham Orthopaedic Associates, PA CurrentSince Apr 1, 2011 Accepting new patients
Chatham Orthopaedic Associates, PA Physical Therapist CurrentSince Apr 1, 2011 Accepting new patients

Locations

20 William Blakely Xing
Pooler, GA 31322

1203 Gandy Dancer
Richmond Hill, GA 31324
Phone (912) 355-6651

613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111

4425 Paulsen St
Savannah, GA 31405
Phone (912) 354-5100

4425 Paulsen St
Fl 2
Savannah, GA 31405
Phone (912) 350-2820

4425 Paulsen St
Bldg B
Savannah, GA 31405

4425 Paulsen St
Bldg A
Savannah, GA 31405
Phone (912) 350-6000

413 W Montgomery Xrds
Ste 602
Savannah, GA 31406
Phone (912) 691-5711

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

Interoperability endpoints

  • Direct secure messaging: vanessa.tootle.2@18355.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1134427339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "address_2": "BUILDING A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-525-1280",
            "fax_number": "912-354-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "address_2": "BUILDING A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-525-1280",
            "fax_number": "912-354-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOTLE",
        "first_name": "VANESSA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.