Individual provider Active NPI

Mary Emily Sockwell

  • Physical Therapist
  • Ooltewah, TN
National Provider Identifier
1295301752
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9408 Apison Pike Ste 150
Ooltewah, TN 37363-5978
Phone
(423) 396-3004
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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 Primary

Addresses

Primary practice location

9408 Apison Pike Ste 150
Ooltewah, TN 37363-5978

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210709002111 TN Practitioner - Physical Therapist in Private Practice 6608278874 Reassigns benefits to 1 organization
I20211207000060 AL Practitioner - Physical Therapist in Private Practice 6608278874 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South - Florence LLCGroup PAC ID 5294087391, 5 clinicians

Practice addresses (Care Compare)

3226 Florence Blvd
Florence, AL 35634-2539
Phone (256) 275-3312

Merit-based Incentive Payment System (MIPS)

Final score
93.95 of 100Reported as group
Quality
98.43
Improvement activities
40
Cost
81.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13350TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCM Rehabilitation LLC CurrentSince May 24, 2021 Accepting new patients
Sixfourthree, LLC CurrentSince Sep 13, 2021 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince May 24, 2021 Accepting new patients
Therafit, LLC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Sixfourthree, LLC Current Accepting new patients
Sixfourthree, LLC CurrentSince Sep 13, 2021 Accepting new patients
Therapy South - Florence LLC Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients

Locations

3226 Florence Blvd
Florence, AL 35634
Phone (256) 275-3312

4240 Balmoral Dr SW
Ste 100
Huntsville, AL 35801
Phone (256) 883-1970

790 Remington Blvd
Bolingbrook, IL 60440

4947 Payshere Cir
Chicago, IL 60674

2125 Northpoint Blvd
Hixson, TN 37343
Phone (423) 875-3367

9408 Apison Pike
Ste 150
Ooltewah, TN 37363
Phone (423) 396-3004

Organizations & group practices 7

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1295301752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9408 APISON PIKE STE 150",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635978",
            "telephone_number": "423-396-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCKWELL",
        "first_name": "MARY",
        "middle_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.