Individual provider Active NPI

Jennifer Marie Arnold, PT, DPT

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1760022826
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12234 Issued in TN
Practice address
4626 Highway 58
Chattanooga, TN 37416-3013
Phone
(423) 553-7972
Fax
(423) 553-7973
NPI assigned
Jan 7, 2020
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014471 GA
Physical Therapist 225100000X 12234 TN Primary

Addresses

Primary practice location

4626 Highway 58
Chattanooga, TN 37416-3013

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-8930

Other practice location 1

5948 Howe Ln Ste 106
Ooltewah, TN 37363-2217
Phone (423) 238-9444

Other practice location 2

5395 Highway 136
Trenton, GA 30752-2900
Phone (706) 657-3035

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

State licenses

LicenseStateTypeSpecialty
PT014471GAMDPhysical Therapist
12234TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1760022826",
    "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": "423-238-8930",
            "fax_number": "423-254-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 HIGHWAY 58",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374163013",
            "telephone_number": "423-553-7972",
            "fax_number": "423-553-7973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5948 Howe Ln Ste 106",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373632217",
            "country_code": "US",
            "telephone_number": "423-238-9444",
            "fax_number": "423-238-9499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5395 Highway 136",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "GA",
            "postal_code": "307522900",
            "country_code": "US",
            "telephone_number": "706-657-3035",
            "fax_number": "706-657-4735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014471",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12234",
            "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 Feb 24, 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.