Individual provider Active NPI

Robert McCall Nevil, P.T.

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1326084047
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000000528 Issued in TN
Practice address
2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone
(423) 624-2696
Fax
(423) 697-2025
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0000000528 TN Primary
Physical Therapist 225100000X PT000687 GA

Addresses

Primary practice location

2415 McCallie Ave
Chattanooga, TN 37404-3322

Mailing address

2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone (423) 624-2696

Other identifiers 2

IdentifierTypeStateIssuer
TN0100OtherTNJOHN DEERE
2006135OtherTNBLUE CROSS/ BLUE SHIELD

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

LicenseStateTypeSpecialty
PT000687GAMDPhysical Therapist
PT0000000528TNMDPhysical Therapist
528TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Orthopaedic Group PC Physical Therapist Past Accepting new patients
Chattanooga Orthopaedic Group, PC Physical Therapist Past Accepting new patients
Chattanooga Orthopaedic Group, PC Physical Therapist Past Accepting new patients
Chattanooga Orthopaedic Group, PC Past Accepting new patients
Chattanooga Orthopaedic Group, PC Physical Therapist PastSince May 11, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robert.nevil.1@519.direct.athenahealth.com

Organizations & group practices 5

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1326084047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043322",
            "telephone_number": "423-624-2696",
            "fax_number": "423-697-2025"
        },
        {
            "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": "423-624-2696",
            "fax_number": "423-697-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVIL",
        "first_name": "ROBERT",
        "middle_name": "MCCALL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000000528",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT000687",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0100",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "2006135",
            "state": "TN"
        }
    ],
    "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 Oct 24, 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.

Verify at the official NPI Registry.