Active NPI
Gina Renee Rahn, PT
- Specialist
- Chattanooga, TN
National Provider Identifier
1174734248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT4876
- Practice address
- 1755 Gunbarrel Rd
Suite 206
Chattanooga, TN 37421-7137 - Phone
- (423) 778-8660
- Fax
- (423) 778-8655
- NPI assigned
- May 24, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT4876 | TN | Primary |
Addresses
Primary practice location
1755 Gunbarrel Rd
Suite 206
Chattanooga, TN 37421-7137
Mailing address
1755 Gunbarrel Rd
Suite 206
Chattanooga, TN 37421-7137
Phone (423) 778-8660
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 |
|---|---|---|---|
| PT4876 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Woodstock, GA
- NPI 1912950569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174734248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 GUNBARREL RD",
"address_2": "SUITE 206",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374217137",
"telephone_number": "423-778-8660",
"fax_number": "423-778-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 GUNBARREL RD",
"address_2": "SUITE 206",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374217137",
"telephone_number": "423-778-8660",
"fax_number": "423-778-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHN",
"first_name": "GINA",
"middle_name": "RENEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "PT4876",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.