Moffett Rehab & Fitness Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4399700 Issued in TN

Legal business name

MOFFETT REHAB & FITNESS CENTER LLC

Practice address

25902 Rhea County Hwy
Spring City, TN 37381-5662

Phone

(423) 365-4737

Fax

(423) 365-4663

NPI assigned

Sep 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vadonna G Moffett, P.T.NPI 1285746834

Title

Owner

Phone

(423) 365-4737

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vadonna G Moffett, P.T.

  • Physical Therapist
  • Spring City, TN
  • NPI 1285746834
  NPD (past) Authorized official

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306948260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25902 RHEA COUNTY HWY",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373815662",
            "telephone_number": "423-365-4737",
            "fax_number": "423-365-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25902 RHEA COUNTY HWY",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373815662",
            "telephone_number": "423-365-4737",
            "fax_number": "423-365-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOFFETT REHAB & FITNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOFFETT",
        "authorized_official_first_name": "VADONNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-365-4737",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "4399700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel D McDougle, RBT
• Memorial Health Partners Foundation Inc (CHI Memorial Family Practice Associates - Spring City)
• Janet Jones Meyer, M.D.
• Matthew Joseph Miko, PA
• Milestone Pediatric Therapy
• Stephen Levi Moffett, MBA, LAT, ATC
• Vadonna G Moffett, P.T.
• Ocoee Regional Health Corporation (Spring City Middle School)
• Ocoee Regional Health Corporation (Spring City Elementary School)
• Mercedes V. Payne, M.D.

• Physical Therapist in Spring City, TN
• Providers in Spring City, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.