NPIMap

Organization Active NPI

Siskin Hospital for Physical Rehabilitation

Doing business as Siskin Hospital Therapy Services

  • Rehabilitation Hospital
  • Chattanooga, TN
National Provider Identifier
1356388227
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
67 Issued in TN
Legal business name
SISKIN HOSPITAL FOR PHYSICAL REHABILITATION
Doing business as
Siskin Hospital Therapy Services
Practice address
1 Siskin PLZ
Chattanooga, TN 37403-1306
Phone
(423) 634-1200
NPI assigned
Jun 1, 2006
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Carol Arnhart
Title
Vice President, Finance and Cfo
Phone
(423) 634-1587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 67 TN Primary

Addresses

Primary practice location

1 Siskin PLZ
Chattanooga, TN 37403-1306

Mailing address

1 Siskin PLZ
Chattanooga, TN 37403-1306
Phone (423) 634-1200

Other identifiers 1

IdentifierTypeStateIssuer
1000865OtherTNBLUE CROSS

Other names 1

  • Siskin Hospital Therapy Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040611000150 TN Part B Supplier - Clinic/Group Practice 5193708527 Receives reassigned benefits from 6 practitioners
Practice locations: Chattanooga, TN
O20100813000439 TN Part A Provider - Hospital 5193708527 Practice locations: Chattanooga, TN; Cleveland, TN
O20231211000375 GA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5193708527 Practice locations: Ringgold, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356388227. Details of each certification follow.

Hospital certification: CCN 443025

Legal name
SISKIN HOSPITAL FOR PHYSICAL REHABILITATION
Doing business as
SISKIN HOSPITAL, SISKIN HOSPITAL THERAPY SERVICES
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Feb 16, 1990
Last certification
Mar 18, 2015
Beds
88
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 21, 1984 in TN
Enrollment address
1 Siskin Plaza
Chattanooga, TN 37403-1306
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Siskin Hospital for Physical RehabilitationCCN 443025 · All quality measures
Ownership
Non-profit
Certified
Feb 16, 1990
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4618 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-7720

1309 Panorama Dr
Ste 103
Chattanooga, TN 37421
Phone (423) 634-4260

271 Northgate Mall
#R40
Chattanooga, TN 37415
Phone (423) 634-4100

3309 Cummings Hwy
Chattanooga, TN 37419
Phone (423) 821-3092

4138 Hixson Pike
Chattanooga, TN 37415
Phone (423) 634-4210

628 Morrison Springs Rd
Chattanooga, TN 37415
Phone (423) 778-3358

3820 Keith St NW
Cleveland, TN 37312
Phone (423) 339-1492

1213 Taft Hwy
Signal Mountain, TN 37377
Phone (423) 517-0222

813 Ridgeway Ave
Signal Mountain, TN 37377
Phone (423) 517-0222

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Trudy a Harper Individual Corporate OfficerTreasurer Oct 1, 2017 16.67%
Corporate Director Jul 1, 2015 5.57%
Michael Fillauer Individual Corporate Director Jul 1, 2017 5.55%
Michael G Mathis Individual Corporate OfficerVice Chairman Jul 1, 2019 16.67%
Corporate Director Jul 1, 2015 5.57%
Ruchir Shah Individual Corporate Director Jul 1, 2022 5.55%
Charles L Arant Individual Corporate Director Jul 1, 2016 5.55%
Richard P McKenney Individual Corporate Director Jul 1, 2015 5.55%
Jones Krogh Individual Corporate OfficerChairman Jul 1, 2017 16.67%
Corporate Director Jul 1, 2016 5.57%
Rose Decosimo Individual Corporate Director Jul 1, 2005 5.55%
Elizabeth McCright Individual Corporate OfficerSecretary Jul 1, 2021 16.67%
Corporate Director Jul 1, 2017 5.57%
William Wilder Individual Corporate Director Jul 1, 2019 5.55%
Carol Arnhart Individual Corporate OfficerVP, Finance & Cfo Oct 1, 2009 16.65%
W-2 Managing EmployeeVP, Finance & Cfo Oct 1, 2009 100%
Marcus K Shaw Individual Corporate Director Jul 1, 2018 5.55%
Jennifer L Weaver Individual Corporate Director Jul 1, 2016 5.55%
Monique P Berke Individual Corporate Director Jul 1, 2014 5.55%
David I Binder Individual Corporate Director Jul 1, 2020 5.55%
Matthew a Gibson Individual Corporate OfficerPresident and Ceo Jan 29, 2020 16.67%
Corporate DirectorPresident and Ceo Jan 29, 2020 5.57%
W-2 Managing EmployeePresident and Ceo Jan 29, 2020 100%
Valerie C Rutledge Individual Corporate Director Sep 3, 2014 5.55%
Maria Laurel Graefe Individual Corporate Director Jul 1, 2022 5.55%
William E Godbold Individual Corporate Director Jul 1, 2022 5.55%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Siskin Subacute West, St. Barnabas at Siskin Hospital, Siskin WestChattanooga, TN, CCN 445008 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 9

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.

Affiliated clinicians 58

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1356388227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SISKIN PLZ",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031306",
            "telephone_number": "423-634-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SISKIN PLZ",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031306",
            "telephone_number": "423-634-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISKIN HOSPITAL FOR PHYSICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "ARNHART",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE AND CFO",
        "authorized_official_telephone_number": "423-634-1587"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "TN",
            "license": "67",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1000865",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siskin Hospital Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Siskin Hospital Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.