Patriot Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PATRIOT PHYSICAL THERAPY

Practice address

7003 Shallowford Rd Ste 102
Chattanooga, TN 37421-6722

Phone

(423) 888-6238

Fax

(423) 220-8238

NPI assigned

Aug 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Summer Lee Haviland, DPTNPI 1578877627

Title

Co-Founder

Phone

(714) 699-0688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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

• Summer Lee Haviland, DPT

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1578877627

  Single Specialty

  Medicare reassignment NPD Authorized official
• Keith James Haviland, D.P.T

  • Physical Therapist
  • Huntington Beach, CA
  • NPI 1932413507

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1841074101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 SHALLOWFORD RD STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216722",
            "telephone_number": "423-888-6238",
            "fax_number": "423-220-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 SHALLOWFORD RD STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216722",
            "telephone_number": "423-888-6238",
            "fax_number": "423-220-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "HAVILAND",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "714-699-0688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicky Jimenez Patino, CCMA
• Brittany Danielle Patmon, DMD
• Johnny D. Patmon
• Patrick H. Foley, M.D.
• Kimberly M Patrick, BA
• Adam Patterson
• Brittany Ragsdale Patterson, NP
• Courtney A Patterson, NP
• Erin Patterson, PT, DPT
• Jennifer L Patterson, NP

• Physical Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.