Scenic City Pediatric Therapy LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

SCENIC CITY PEDIATRIC THERAPY LLC

Practice address

5819 Winding LN Ste 101
Hixson, TN 37343-4067

Phone

(615) 512-8448

Fax

(800) 470-1905

NPI assigned

Jun 2, 2022

Last updated

Jun 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Cooper

Title

Director

Phone

(423) 455-8358

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Kristina Gibbs, SLP-A

  • Speech-Language Assistant
  • Hixson, TN
  • NPI 1205612157
  NPD
• Courtney Pittman, OCCUPATION THERAPIST

  • Occupational Therapist
  • Hixson, TN
  • NPI 1851469589
  NPD

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1497494066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 WINDING LN STE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434067",
            "telephone_number": "615-512-8448",
            "fax_number": "800-470-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 WINDING LN STE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434067",
            "telephone_number": "615-512-8448",
            "fax_number": "800-470-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC CITY PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "423-455-8358"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Santiwan
• David Michael Sapala, DMD
• Jeanne Andree Scanland, MD
• Elizabeth Erin Scarbrough, D.O.
• Scenic City Oral Surgery, PLLC
• Brian K Schenck, DDS
• Kenneth L Schenck Jr., DDS
• Linda D Schock
• Tracy Deborah Schultz, PSYD
• Aaron Robert Schumacher, ATC

• Pediatric Physical Therapist in Hixson, TN
• Providers in Hixson, TN by specialty
• Pediatric Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.