Sport Med Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPORT MED PHYSICAL THERAPY

Practice address

6925 Shallowford Rd
Suite 207
Chattanooga, TN 37421-1787

Phone

(423) 322-9523

Fax

(423) 847-0059

NPI assigned

Jun 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin James Faulkner

Title

Owner

Phone

(423) 322-9523

Specialties & licenses 1

Addresses

Tax ID family

Sport Med Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sport Med Physical Therapy

  • Physical Therapist
  • Monteagle, TN
  • NPI 1841430501
  NPD tax ID

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730382391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 SHALLOWFORD RD",
            "address_2": "SUITE 207",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211787",
            "telephone_number": "423-322-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 SHALLOWFORD RD",
            "address_2": "SUITE 207",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211787",
            "telephone_number": "423-322-9523",
            "fax_number": "423-847-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT MED PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-322-9523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine Surgery Associates, P.C.
• Christian Spining
• Spirit Medical, LLC
• Jessica May Sponaugle, DO
• Garrick Bjorn Spoon, PA-C
• Sports Care of Chattanooga PLLC
• Allison Lane Spotts-de Lazzer, LMFT, LPCC
• Kylie Spracklen
• Yolanda Spraggins, MD
• Mary Beth Sprague, R.N.

• Physical Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.