Chattanooga Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6542 Issued in TN

Legal business name

CHATTANOOGA PHYSICAL THERAPY

Practice address

1201 Market St Ste a
Chattanooga, TN 37402-2714

Phone

(423) 648-4490

Fax

(423) 648-4491

NPI assigned

Jun 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Paul Ned Iverson, DPT, MTCNPI 1861500993

Title

Owner/Physical Therapist

Phone

(423) 648-4490

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 6

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

• Paul Ned Iverson, DPT, MTC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1861500993

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Bill Issa Bakary Djire

  • Physical Therapist
  • Chattanoooga, TN
  • NPI 1770166100
  Medicare reassignment Care Compare group NPD
• Katherine Elizabeth House, DPT

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1336765106
  Medicare reassignment Care Compare group NPD
• Krystal Place, DPT

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1649897646
  Medicare reassignment Care Compare group NPD
• Daniel See, DPT

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1740169374
  NPD
• Brennan Spezia, DPT

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1710871785
  NPD

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1659508604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MARKET ST STE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022714",
            "telephone_number": "423-648-4490",
            "fax_number": "423-648-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MARKET ST STE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022714",
            "telephone_number": "423-648-4490",
            "fax_number": "423-648-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "NED",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "423-648-4490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, MTC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "6542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509785",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chattanooga Plastic Surgery, PLLC
• Chattanooga Podiatry Center, PC
• Chattanooga Podiatry Center, PC
• Chattanooga Primary Care of Hypertension & Diabetes
• Chattanooga Radiation Oncology Center, PLLC

• Physical Therapy Clinic/Center in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.