Active NPI
Seth Rucker, PT
- Physical Therapist
- Athens, TN
National Provider Identifier
1164055869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12504
- Practice address
- 311 Congress Pkwy N Ste 800
Athens, TN 37303-1697 - Phone
- (423) 744-0890
- NPI assigned
- Feb 20, 2020
- Last updated
- Mar 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12504 | TN | Primary |
Addresses
Primary practice location
311 Congress Pkwy N Ste 800
Athens, TN 37303-1697
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-8930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12504 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1164055869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6397 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214915",
"telephone_number": "423-238-8930",
"fax_number": "423-254-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 CONGRESS PKWY N STE 800",
"city": "ATHENS",
"state": "TN",
"postal_code": "373031697",
"telephone_number": "423-744-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKER",
"first_name": "SETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-20",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "12504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.