Individual provider Active NPI

Laura Jean Malnati Chambers, DPT

  • Physical Therapist
  • Dandridge, TN
National Provider Identifier
1659509255
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10253 Issued in TN
Practice address
1855 Longview LN
Dandridge, TN 37725-4431
Phone
(865) 387-3752
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305205944 VA
Physical Therapist 225100000X 10253 TN Primary

Addresses

Primary practice location

1855 Longview LN
Dandridge, TN 37725-4431

Mailing address

102 E Commerce CT
Jefferson City, TN 37760-3200
Phone (865) 475-3101

Other practice location 1

43490 Yukon Dr
Suite 212
Ashburn, VA 20147-6990
Phone (703) 729-7920

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

LicenseStateTypeSpecialty
10253TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Health Center, Inc. Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients

Locations

102 E Commerce Ct
Jefferson Cty, TN 37760
Phone (865) 475-3101

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1659509255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E COMMERCE CT",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377603200",
            "telephone_number": "865-475-3101",
            "fax_number": "865-475-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 LONGVIEW LN",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254431",
            "telephone_number": "865-387-3752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43490 Yukon Dr",
            "address_2": "Suite 212",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201476990",
            "country_code": "US",
            "telephone_number": "703-729-7920",
            "fax_number": "703-729-7923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "LAURA",
        "middle_name": "JEAN MALNATI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205944",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dandridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.