Deidre Dione Blue, P.T., ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0000005485 Issued in TN

Practice address

2415 McCallie Ave
Chattanooga, TN 37404-3322

Phone

(423) 622-6200

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1306048764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 LAKE RESORT DR APT H107",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374157045",
            "telephone_number": "423-877-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043322",
            "telephone_number": "423-622-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "DEIDRE",
        "middle_name": "DIONE",
        "name_prefix": "Mrs.",
        "credential": "P.T., ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212577",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "0000005485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Bloodworth
• Lisa A. Bloom, IBCLC
• Charlene Renee Blowers, RBT
• Blue Sky Health, Inc.
• Blue Zone Home Care LLC
• Audrey C Blunt, RBT
• Antoinette Boameh, M.D.
• Brittany Boatwright
• Lynn Kay Boatwright, PH.D.
• Michele April Boaz, P.T.

• All providers in Chattanooga, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.