Brandon Tyler Whitworth, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10299 Issued in TN

Practice address

1440 Adams St
Chattanooga, TN 37408

Phone

(423) 402-0778

NPI assigned

Jan 29, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Athletic Edge Physical Therapy

  • Rehabilitation Clinic/Center
  • Chattanooga, TN
  • NPI 1043766975
  NPD Authorized official
• Summit Physical Therapy

  • Physical Therapist
  • Hixson, TN
  • NPI 1225514110
  NPD (past)

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

{
    "created_epoch": "1327795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1538431192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 JEFFERSON ST APT C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374082115",
            "telephone_number": "631-790-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ADAMS ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37408",
            "telephone_number": "423-402-0778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1790 Hamill Rd",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373435179",
            "country_code": "US",
            "telephone_number": "423-842-9322",
            "fax_number": "866-591-0619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITWORTH",
        "first_name": "BRANDON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-29",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Kyle Whittaker
• Rylee Elizabeth Whittaker
• Kelly Whittemore, SLP-CCC
• Miranda Dawn Whittington, M.S.
• Jessica A. Whittle, MD
• Stacy Len Whitzell
• Whole Self Collaborative
• Suzanne Wichlinski, OT
• Jack Carlton Wick
• Kristina Carlton Wick, FNP-BC

• 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 May 24, 2018; 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.