David K Petty, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

554 Issued in TN

Practice address

2415 McCallie Ave
Chattanooga, TN 37404-3322

Phone

(423) 622-6200

NPI assigned

Jul 6, 2006

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)

Not enrolled

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598797151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 WARREN ST",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307412997",
            "telephone_number": "423-240-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043322",
            "telephone_number": "423-622-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "DAVID",
        "middle_name": "K",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Peterson, M.D.
• Thomas R Peterson, MD
• Morgan Petet, M.S., MFT-I
• Adriene Petmecky, LCSW, CT
• David Joseph Petro, RPH
• Robert Howard Pewitt, APN
• Elizabeth Ashley Pfaff
• Laura Lynn Pfeifer, OTR
• Sachin Vijaykumar Phade, MD
• Pharmacy Healthcare Solutions LTD

• Athletic Trainer in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.