Individual provider Active NPI

Chad Evert Capps, P.T.

  • Physical Therapist
  • Erwin, TN
National Provider Identifier
1447586201
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
800 S Mohawk Dr
Suite D
Erwin, TN 37650-2124
Phone
(423) 743-1245
Fax
(423) 743-2885
NPI assigned
Oct 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

800 S Mohawk Dr
Suite D
Erwin, TN 37650-2124

Mailing address

501 W Maple St
Johnson City, TN 37604-6603
Phone (423) 743-1245

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Therapy Services of Unicoi County CurrentSince Jul 30, 2012 Accepting new patients
Mountain States Health Alliance PastSince Jul 30, 2012 Accepting new patients

Locations

800 S Mohawk Dr
Ste D
Erwin, TN 37650
Phone (423) 743-1245

Organizations & group practices 2

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": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1447586201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W MAPLE ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046603",
            "telephone_number": "423-743-1245",
            "fax_number": "423-743-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MOHAWK DR",
            "address_2": "SUITE D",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376502124",
            "telephone_number": "423-743-1245",
            "fax_number": "423-743-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPS",
        "first_name": "CHAD",
        "middle_name": "EVERT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.