Fusion Fitness & Physical Therapy Center, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FUSION FITNESS & PHYSICAL THERAPY CENTER, LLC

Practice address

626 Cherokee Blvd Ste C
Chattanooga, TN 37405-3302

Phone

(423) 267-9146

Fax

(423) 267-9081

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Ann Marie McBride, PT, CSCINPI 1700051323

Title

Administrator, Dir of Physical Ther

Phone

(423) 267-9146

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Marie McBride, PHYSICAL THERAPIST

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1700051323
  NPD Authorized official
• Joseph Clark Baldridge, P.T.

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1902842651
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680393600000",
    "number": "1528064193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 CHEROKEE BLVD STE C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053302",
            "telephone_number": "423-267-9146",
            "fax_number": "423-267-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 CHEROKEE BLVD STE C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053302",
            "telephone_number": "423-267-9146",
            "fax_number": "423-267-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION FITNESS & PHYSICAL THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR, DIR OF PHYSICAL THER",
        "authorized_official_telephone_number": "423-267-9146",
        "authorized_official_credential": "PT, CSCI"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446674",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Fulton, CRNA
• Grace Ann Fulton, APN
• Randall L Funderburk, MD
• Erin Melsa Furnish, LPC-MHSP
• Joe Furr, M.D.
• Charles Samuel Fussell Sr., D.D.S.
• G. Gary Leigh, PH.D., P.C.
• Stephanie Elaine Gabor, RDH
• Maxwell Gabrielly
• Holly Gadd, NP

• Physical Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2023; 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.