Active NPI
James R Gose, PT, OCS, CERT. MDT,
- Physical Therapist
- Cleveland, TN
National Provider Identifier
1659517647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6134952
- Practice address
- 4625 N Lee Hwy
Cleveland, TN 37312-4042 - Phone
- (423) 624-2696
- Fax
- (423) 697-2055
- NPI assigned
- Dec 23, 2008
- Last updated
- Jan 28, 2011
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 6134952 | TN | Primary |
Addresses
Primary practice location
4625 N Lee Hwy
Cleveland, TN 37312-4042
Mailing address
2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone (423) 624-2696
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
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1502 Gunbarrel Rd
Chattanooga, TN 37421-3123
Phone (423) 453-4613
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6134952 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1502 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 453-4613
960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Clinton, TN
- NPI 1376073262
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- Independence, MO
- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1659517647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 MCCALLIE AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043322",
"telephone_number": "423-624-2696",
"fax_number": "423-697-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 N LEE HWY",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373124042",
"telephone_number": "423-624-2696",
"fax_number": "423-697-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSE",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "PT, OCS, CERT. MDT,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-23",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "6134952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.