Active NPI
Juhyan Jang, PT
- Physical Therapist
- Ooltewah, TN
National Provider Identifier
1164979977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10660
- Practice address
- 6711 Mountain View Rd Ste 115
Ooltewah, TN 37363-6667 - Phone
- (423) 238-1127
- Fax
- (423) 238-1277
- NPI assigned
- Sep 9, 2016
- Last updated
- Sep 9, 2016
- Sex
- Female
- 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 | PT10660 | TN | Primary |
Addresses
Primary practice location
6711 Mountain View Rd Ste 115
Ooltewah, TN 37363-6667
Mailing address
7265 Aventine Way
Apt 209
Chattanooga, TN 37421-4659
Phone (344) 744-1337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT10660 | Other | TN | LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT10660 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1164979977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7265 AVENTINE WAY",
"address_2": "APT 209",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214659",
"telephone_number": "344-744-1337",
"fax_number": "423-238-1127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6711 MOUNTAIN VIEW RD STE 115",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636667",
"telephone_number": "423-238-1127",
"fax_number": "423-238-1277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "JUHYAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT10660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT10660",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ooltewah, TN
- Independent Physical Therapy LLC
- Independent Physical Therapy of Georgia, LLC
- Independent Physical Therapy of Georgia, LLC
- Inspire Home Respiratory Services Inc. (Airstat Inc.)
- Inspire Kids Dental PLLC
- Leah Suzanne Jarrell, FNP
- Jason Vance MD a Medical Corporation
- Jason Vance MD a Medical Corporation
- Andrew Keith Johnson, DPT
- Bruce W Johnson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.