Active NPI
Timothy Logan Irwin, PT, DPT
- Physical Therapist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13565
- Practice address
- 7443 Commons Blvd Ste 112
Chattanooga, TN 37421-2895 - Phone
- (423) 254-5461
- Fax
- (800) 385-7439
- NPI assigned
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 13565 | TN | Primary |
Addresses
Primary practice location
7443 Commons Blvd Ste 112
Chattanooga, TN 37421-2895
Mailing address
625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000
Other practice location 1
403 Gallatin Farmers Ave
Belgrade, MT 59714-9142
Phone (406) 388-7229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231213002064 | TN | Practitioner - Physical Therapist in Private Practice | 3375933633 | Reassigns benefits to 2 organizations |
| I20241230002545 | GA | Practitioner - Physical Therapist in Private Practice | 3375933633 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Excel Rehabilitation and SportsLookout Mountain Physical Therapy LLC
Practice addresses (Care Compare)
3460 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4007
Phone (706) 719-2253
7443 Commons Blvd
Suite a
Chattanooga, TN 37421-2896
Phone (423) 254-5461
820 Scenic Hwy
Suite B
Lookout Mountain, TN 37350-1418
Phone (731) 313-0057
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13565 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Rehabilitation and Sports | Physical Therapist | Current | Accepting new patients |
| Excel Rehabilitation and Sports | Physical Therapist | Current | Accepting new patients |
| Lone Peak Physical Therapy at Belgrade | Past | Accepting new patients | |
| Yellowstone Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Locations
3460 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 719-2253
625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
2158 Northgate Park Ln
Ste 200
Chattanooga, TN 37415
Phone (423) 254-5461
313 Manufacturers Rd
Ste C215
Chattanooga, TN 37405
Phone (423) 254-5461
7443 Commons Blvd
Ste 112
Chattanooga, TN 37421
Phone (423) 254-5461
7443 Commons Blvd
Ste A
Chattanooga, TN 37421
Phone (423) 254-5461
1700 Broad St
Ste 120
Chattanooga, TN 37408
Phone (423) 254-5461
862 Callen Ln NW
Ste 100
Cleveland, TN 37312
Phone (423) 254-5461
Organizations & group practices 8
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.
-
- Physical Therapist
- Clemson, SC
- NPI 1740358324
GA, Physical Therapist, TN
-
- Physical Therapist
- Greenville, SC
- NPI 1952272379
-
- Hand Occupational Therapist
- Easley, SC
- NPI 1003680299
-
- Hand Occupational Therapist
- Seneca, SC
- NPI 1295509479
-
- Hand Occupational Therapist
- Clemson, SC
- NPI 1598539801
-
- Orthopedic Physical Therapist
- Belgrade, MT
- NPI 1912201005
-
- Physical Therapy Clinic/Center
- Livingston, MT
- NPI 1841322310
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1700458643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462395",
"telephone_number": "616-356-5000",
"fax_number": "616-356-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7443 COMMONS BLVD STE 112",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212895",
"telephone_number": "423-254-5461",
"fax_number": "800-385-7439"
}
],
"practiceLocations": [
{
"address_1": "403 Gallatin Farmers Ave",
"address_purpose": "LOCATION",
"city": "Belgrade",
"state": "MT",
"postal_code": "597149142",
"country_code": "US",
"telephone_number": "406-388-7229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRWIN",
"first_name": "TIMOTHY",
"middle_name": "LOGAN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-12",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "13565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.