Individual provider Active NPI

Nicholas Adam Jenkins, PT, DPT

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1740773241
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11723 Issued in TN
Practice address
7380 Volkswagen Dr Ste 190a
Chattanooga, TN 37416
Phone
(423) 661-8418
Fax
(423) 661-8420
NPI assigned
Jun 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013898 GA
Physical Therapist 225100000X PTH8912 AL
Physical Therapist 225100000X 11723 TN Primary

Addresses

Primary practice location

7380 Volkswagen Dr Ste 190a
Chattanooga, TN 37416

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-7217

Other practice location 1

14224 US Highway 431
Guntersville, AL 35976-2541
Phone (256) 582-3020

Other practice location 2

1394 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4010
Phone (706) 858-0252

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

Practice roles

OrganizationSpecialtyStatusNew patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

104 Liberty Ln
Scottsboro, AL 35769
Phone (256) 574-0660

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1740773241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 VOLKSWAGEN DR STE 190A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37416",
            "telephone_number": "423-661-8418",
            "fax_number": "423-661-8420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14224 US Highway 431",
            "address_purpose": "LOCATION",
            "city": "Guntersville",
            "state": "AL",
            "postal_code": "359762541",
            "country_code": "US",
            "telephone_number": "256-582-3020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1394 Battlefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Oglethorpe",
            "state": "GA",
            "postal_code": "307424010",
            "country_code": "US",
            "telephone_number": "706-858-0252",
            "fax_number": "706-858-0323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "NICHOLAS",
        "middle_name": "ADAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013898",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8912",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11723",
            "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 Jun 20, 2019; 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.