Active NPI
Angela Lynn Reeves, MSPT
- Physical Therapist
- Dayton, TN
National Provider Identifier
1790723039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 7937 Rhea County Hwy
Suite 104
Dayton, TN 37321-5990 - Phone
- (423) 570-0907
- Fax
- (423) 570-0936
- NPI assigned
- Jun 2, 2006
- Last updated
- Feb 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
7937 Rhea County Hwy
Suite 104
Dayton, TN 37321-5990
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5441654 | Medicaid | TN | |
| 0446652 | Medicaid | TN | |
| 3646803 | Medicaid | TN | |
| 3156797 | Other | TN | BCBST - GROUP NUMBER |
Other names 1
- Angela Lynn Dodson
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296777600000",
"number": "1790723039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"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": "7937 RHEA COUNTY HWY",
"address_2": "SUITE 104",
"city": "DAYTON",
"state": "TN",
"postal_code": "373215990",
"telephone_number": "423-570-0907",
"fax_number": "423-570-0936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "ANGELA",
"middle_name": "LYNN",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2011-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5441654",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446652",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3646803",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST - GROUP NUMBER",
"identifier": "3156797",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "DODSON",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dayton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.