Michael Chua, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8904 Issued in TN

Practice address

161 Mount Pelia Rd
Martin, TN 38237-3811

Phone

(731) 588-3480

Fax

(731) 588-3489

NPI assigned

Apr 10, 2014

Sex

Male

Sole proprietor

No

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.

• TN Therapy Outsource, LLC

  • Physical Therapist
  • Jackson, TN
  • NPI 1891285185
  Medicare reassignment Care Compare group NPD Authorized official
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Clinton, TN
  • NPI 1376073262
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD
• Physical Therapy of Jackson PC.

  • Physical Therapy Clinic/Center
  • Jackson, TN
  • NPI 1841247418
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TN Therapy Outsource, LLC 13 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2014.

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1487073060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MOUNT PELIA RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373811",
            "telephone_number": "731-588-3480",
            "fax_number": "731-588-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MOUNT PELIA RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373811",
            "telephone_number": "731-588-3480",
            "fax_number": "731-588-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Elizabeth Castleman, APRN, FNP-BC
• Hillary Cates
• Ce Baker DDS PC
• Regina Suzanne Chandler
• Ayana Lakulia Chism, LMSW
• City of Martin Tennessee
• Brandon Thomas Clapp
• Daniel Phillip Clements, PA-C
• Corey B Cogburn, LPN
• Seth Lewis Coleman, PA

• All providers in Martin, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.