Active NPI
Summer Lee Haviland, DPT
- Physical Therapist
- Chattanooga, TN
National Provider Identifier
1578877627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15153
- Practice address
- 7003 Shallowford Rd Ste 102
Chattanooga, TN 37421-6722 - Phone
- (423) 888-6238
- Fax
- (423) 220-8238
- NPI assigned
- Jul 31, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Ergonomics Physical Therapist | 2251E1200X | |||
| Geriatric Physical Therapist | 2251G0304X | |||
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapist | 225100000X | 15153 | TN | Primary |
Addresses
Primary practice location
7003 Shallowford Rd Ste 102
Chattanooga, TN 37421-6722
Mailing address
7003 Shallowford Rd Ste 102
Chattanooga, TN 37421-6722
Phone (423) 888-6238
Other names 1
- Dr. Summer Lee Wilkerson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Un of California, Irvine, College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2288 Gunbarrel Rd
Suite 154/340
Chattanooga, TN 37421-2670
7003 Shallowford Rd
Suite 102
Chattanooga, TN 37421-6722
Phone (423) 888-6238
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patriot Physical Therapy | Single Specialty | Current | Accepting new patients |
Locations
7003 Shallowford Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 805-7587
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1578877627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7003 SHALLOWFORD RD STE 102",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374216722",
"telephone_number": "423-888-6238",
"fax_number": "423-220-8238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7003 SHALLOWFORD RD STE 102",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374216722",
"telephone_number": "423-888-6238",
"fax_number": "423-220-8238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVILAND",
"first_name": "SUMMER",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-31",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TN",
"license": "15153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUMMER",
"last_name": "WILKERSON",
"middle_name": "LEE",
"prefix": "DR.",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
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 11, 2023; 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.