Individual provider Active NPI

Kimberly Roxann Bryant, OT

  • Occupational Therapist
  • Chattanooga, TN
National Provider Identifier
1427242593
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3619 Issued in TN
Practice address
1608 Gunbarrel Rd
Suite 201
Chattanooga, TN 37421-7197
Phone
(423) 892-8070
Fax
(423) 858-0323
NPI assigned
Aug 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3619 TN Primary

Addresses

Primary practice location

1608 Gunbarrel Rd
Suite 201
Chattanooga, TN 37421-7197

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Other identifiers 3

IdentifierTypeStateIssuer
0446652MedicaidTN
5441975MedicaidTN
3156797OtherTNBCBST

Other names 1

  • Kimberly Roxann Meeks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150227000086 TN Practitioner - Physical Therapist in Private Practice 1759607237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Orthopaedic Group, PCGroup PAC ID 1254229156, 75 clinicians

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT3619TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Orthopaedic Group, PC CurrentSince Jul 24, 2015 Accepting new patients
Chattanooga Orthopaedic Group PC Occupational Therapist CurrentSince Jul 24, 2015 Accepting new patients
Chattanooga Orthopaedic Group, PC Past Accepting new patients
Independent Physical Therapy Past Accepting new patients
Independent Physical Therapy LLC Occupational Therapist Past Accepting new patients
Chattanooga Orthopaedic Group, PC Past Accepting new patients
Chattanooga Orthopaedic Group, PC Occupational Therapist Past Accepting new patients

Locations

4725 Battlefield Pkwy
Ringgold, GA 30736

6401 Lee Hwy
Ste 109
Chattanooga, TN 37421
Phone (423) 713-5639

7305 Jarnigan Rd
Ste 280
Chattanooga, TN 37421

2415 McCallie Ave
Chattanooga, TN 37404
Phone (423) 629-4395

2400 N Ocoee St
Cleveland, TN 37311
Phone (423) 476-5547

2051 Hamill Rd
Ste 3000
Hixson, TN 37343

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": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1427242593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 GUNBARREL RD",
            "address_2": "SUITE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217197",
            "telephone_number": "423-892-8070",
            "fax_number": "423-858-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KIMBERLY",
        "middle_name": "ROXANN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT3619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446652",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441975",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "3156797",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MEEKS",
            "middle_name": "ROXANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 27, 2008; 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.