Organization Active NPI

Avalon Therapy Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
National Provider Identifier
1780684381
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AVALON THERAPY SERVICES, INC.
Practice address
6219 Vance Rd
Chattanooga, TN 37421-2979
Phone
(423) 553-8175
Fax
(423) 553-8177
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Mrs. Marilyn E. Beckner, P.T., CLT-LANANPI 1821081514
Title
President
Phone
(423) 553-8175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6219 Vance Rd
Chattanooga, TN 37421-2979

Mailing address

6219 Vance Rd
Chattanooga, TN 37421-2979
Phone (423) 553-8175

Other identifiers 2

IdentifierTypeStateIssuer
3157958OtherTNBLUE CROSS BLUE SHIELD
3653366MedicaidTN

National Provider Directory

National Provider Directory

Locations

1300 Premier Dr
Ste 100
Chattanooga, TN 37421
Phone (423) 553-8175

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1780684381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6219 VANCE RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212979",
            "telephone_number": "423-553-8175",
            "fax_number": "423-553-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6219 VANCE RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212979",
            "telephone_number": "423-553-8175",
            "fax_number": "423-553-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "BECKNER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-553-8175",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T., CLT-LANA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3157958",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3653366",
            "state": "TN"
        }
    ],
    "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 May 21, 2009; 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.