Individual provider Active NPI

Emily Smith

  • Physical Therapist
  • Cleveland, TN
National Provider Identifier
1841673993
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9939 Issued in TN
Practice address
3312 Keith St NW Ste 104
Cleveland, TN 37312-3757
Phone
(423) 842-9322
Fax
(866) 591-0619
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9939 TN Primary

Addresses

Primary practice location

3312 Keith St NW Ste 104
Cleveland, TN 37312-3757

Mailing address

1463 Market St Ste 104
Chattanooga, TN 37402-4465
Phone (423) 842-9322

Other practice location 1

304 Broad St
Chattanooga, TN 37402-1217
Phone (423) 842-9322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220222000427 TN Practitioner - Physical Therapist in Private Practice 0941694780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Physical Therapy, LLCGroup PAC ID 5799840211, 24 clinicians

Practice addresses (Care Compare)

4109 Mountain View Ave
Suite 200
Chattanooga, TN 37415-2096
Phone (423) 842-9322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physical Therapy, LLC Physical Therapist CurrentSince Jan 31, 2022 Accepting new patients
Summit Physical Therapy Physical Therapist Past Accepting new patients

Locations

4109 Mountain View Ave
Ste 100
Chattanooga, TN 37415

304 Broad St
Chattanooga, TN 37402

1463 Market St
Ste 104
Chattanooga, TN 37402

3312 Keith St NW
Ste 104
Cleveland, TN 37312

1790 Hamill Rd
Hixson, TN 37343
Phone (423) 362-4381

9380 Bradmore Ln
Ste 100
Ooltewah, TN 37363
Phone (423) 661-3246

4109 Mountain View Ave
Ste 200
Red Bank, TN 37415
Phone (423) 877-5817

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1841673993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 MARKET ST STE 104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374024465",
            "telephone_number": "423-842-9322",
            "fax_number": "866-591-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 KEITH ST NW STE 104",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123757",
            "telephone_number": "423-842-9322",
            "fax_number": "866-591-0619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Broad St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374021217",
            "country_code": "US",
            "telephone_number": "423-842-9322",
            "fax_number": "866-591-0619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.