Individual provider Active NPI

Kyle Mether

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Chattanooga, TN
National Provider Identifier
1477281954
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
2081S0010X Issued in TN
Practice address
720 E 4TH St
Chattanooga, TN 37403-1925
Phone
(423) 425-4706
NPI assigned
Aug 11, 2022
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 204C00000X TN
Sports Medicine (Emergency Medicine) Physician 207PS0010X 207PS0010X TN
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 2081S0010X TN Primary
Sports Medicine (Preventive Medicine) Physician 2083S0010X 2083S0010X TN
Sports Medicine (Psychiatry & Neurology) Physician 2084S0010X 2084S0010X TN

Addresses

Primary practice location

720 E 4TH St
Chattanooga, TN 37403-1925

Mailing address

1175 Pineville Rd Apt 85
Chattanooga, TN 37405-2650
Phone (951) 310-5522

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
204C00000XTNMDSports Medicine (Neuromusculoskeletal Medicine) Physician
207PS0010XTNMDSports Medicine (Emergency Medicine) Physician
2081S0010XTNMDSports Medicine (Physical Medicine & Rehabilitation) Physician
2083S0010XTNMDSports Medicine (Preventive Medicine) Physician
2084S0010XTNMDSports Medicine (Psychiatry & Neurology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1477281954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 PINEVILLE RD APT 85",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374052650",
            "telephone_number": "951-310-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E 4TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031925",
            "telephone_number": "423-425-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHER",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "TN",
            "license": "204C00000X",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "TN",
            "license": "207PS0010X",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TN",
            "license": "2081S0010X",
            "primary": true
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "TN",
            "license": "2083S0010X",
            "primary": false
        },
        {
            "code": "2084S0010X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": "TN",
            "license": "2084S0010X",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Dec 12, 2024; 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.