Individual provider Active NPI

Michelle Renee Zickafoose, PT

  • Physical Therapist
  • Ringgold, GA
National Provider Identifier
1669139853
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7606 Issued in TN
Practice address
4725 Battlefield Pkwy
Ringgold, GA 30736-5119
Phone
(423) 624-2696
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7606 TN Primary

Addresses

Primary practice location

4725 Battlefield Pkwy
Ringgold, GA 30736-5119

Mailing address

6770 Swiff LN
Ooltewah, TN 37363-5210
Phone (423) 463-5802

Other practice location 1

1949 Gunbarrel Rd Ste 280
Chattanooga, TN 37421-7134
Phone (423) 624-2696

Other practice location 2

6401 Lee Hwy Ste 109
Chattanooga, TN 37421-4766
Phone (423) 713-5639

Other practice location 3

2400 N Ocoee St
Cleveland, TN 37311-3854
Phone (423) 624-2696

Other practice location 4

2051 Hamill Rd
Hixson, TN 37343-6614
Phone (423) 624-2696

Other practice location 5

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

Enrollment IDStateProvider typePAC IDDetails
I20220126001362 TN Practitioner - Physical Therapist in Private Practice 2668864596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Orthopaedic Group, PCGroup PAC ID 1254229156, 75 clinicians

Practice addresses (Care Compare)

2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone (423) 624-2696

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7606TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Orthopaedic Group PC Physical Therapist CurrentSince Jan 4, 2022 Accepting new patients
Chattanooga Orthopaedic Group, PC CurrentSince Jan 4, 2022 Accepting new patients
Chattanooga Orthopaedic Group, PC Physical Therapist Past Accepting new patients
Chattanooga Orthopaedic Group, PC Physical Therapist PastSince May 11, 2025 Accepting new patients
Chattanooga Orthopaedic Group, PC Past Accepting new patients
Chattanooga Orthopaedic Group, PC Physical Therapist Past Accepting new patients

Locations

4725 Battlefield Pkwy
Ringgold, GA 30736

2415 McCallie Ave
Chattanooga, TN 37404
Phone (423) 629-4395

1949 Gunbarrel Rd
Ste 150
Chattanooga, TN 37421
Phone (423) 296-0022

7305 Jarnigan Rd
Ste 280
Chattanooga, TN 37421

6401 Lee Hwy
Ste 109
Chattanooga, TN 37421
Phone (423) 713-5639

2400 N Ocoee St
Cleveland, TN 37311
Phone (423) 476-5547

2399 Parker St NE
Ste C3
Cleveland, TN 37311
Phone (423) 697-8844

Interoperability endpoints

  • Direct secure messaging: michelle.zickafoose.1@519.direct.athenahealth.com

Organizations & group practices 6

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": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1669139853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 SWIFF LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635210",
            "telephone_number": "423-463-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 BATTLEFIELD PKWY",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307365119",
            "telephone_number": "423-624-2696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1949 Gunbarrel Rd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374217134",
            "country_code": "US",
            "telephone_number": "423-624-2696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 Lee Hwy Ste 109",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374214766",
            "country_code": "US",
            "telephone_number": "423-713-5639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 N Ocoee St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113854",
            "country_code": "US",
            "telephone_number": "423-624-2696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 Hamill Rd",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373436614",
            "country_code": "US",
            "telephone_number": "423-624-2696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 McCallie Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374043322",
            "country_code": "US",
            "telephone_number": "423-624-2696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZICKAFOOSE",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.

Verify at the official NPI Registry.