Organization Active NPI

Elite Muscle Recovery

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1770265209
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELITE MUSCLE RECOVERY
Practice address
7530 Goodwin Rd
Chattanooga, TN 37421-3182
Phone
(423) 228-8120
NPI assigned
Aug 3, 2023
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Dr. Jaicy Harless, DPT
Title
Owner
Phone
(423) 228-8120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

7530 Goodwin Rd
Chattanooga, TN 37421-3182

Mailing address

7530 Goodwin Rd
Chattanooga, TN 37421-3182
Phone (423) 228-8120

Other names 1

  • Elite Muscle Recovery Former legal business name

National Provider Directory

National Provider Directory

Locations

7530 Goodwin Rd
Chattanooga, TN 37421
Phone (423) 402-4602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1770265209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 GOODWIN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213182",
            "telephone_number": "423-228-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 GOODWIN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213182",
            "telephone_number": "423-228-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MUSCLE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "HARLESS",
        "authorized_official_first_name": "JAICY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-228-8120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Muscle Recovery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 3, 2023; 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.