Active NPI
James Shoemaker
- Physical Therapist
- Chattanooga, TN
National Provider Identifier
1285176123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12952
- Practice address
- 281 N Lyerly St Ste 305
Chattanooga, TN 37404-2728 - Phone
- (423) 777-4974
- NPI assigned
- Nov 9, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 292333 | CA | |
| Physical Therapist | 225100000X | 12952 | TN | Primary |
Addresses
Primary practice location
281 N Lyerly St Ste 305
Chattanooga, TN 37404-2728
Mailing address
1463 Market St Ste 104
Chattanooga, TN 37402-4465
Phone (423) 362-4381
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 |
|---|---|---|---|
| 12952 | TN | MD | Pharmacist |
| 292333 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Physical Therapy | Physical Therapist | 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 Therapist
- Hixson, TN
- NPI 1225514110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1285176123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1463 MARKET ST STE 104",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374024465",
"telephone_number": "423-362-4381",
"fax_number": "866-591-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 N LYERLY ST STE 305",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374042728",
"telephone_number": "423-777-4974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOEMAKER",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-09",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "292333",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "12952",
"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 Nov 10, 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.