Active NPI
Ryan Ross, DPT
- Physical Therapy Clinic/Center
- Chattanooga, TN
National Provider Identifier
1588924443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 9336
- Practice address
- 1201 Market St
Chattanooga, TN 37402-2714 - Phone
- (423) 648-4490
- Fax
- (423) 648-4491
- NPI assigned
- May 24, 2012
- Last updated
- May 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 9336 | TN | Primary |
Addresses
Primary practice location
1201 Market St
Chattanooga, TN 37402-2714
Mailing address
1336 Hixson Pike
Chattanooga, TN 37405-3141
Phone (731) 217-8424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9336 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1588924443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 HIXSON PIKE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374053141",
"telephone_number": "731-217-8424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 MARKET ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374022714",
"telephone_number": "423-648-4490",
"fax_number": "423-648-4491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "RYAN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-24",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TN",
"license": "9336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.