Active NPI
Emily Smith
- Physical Therapist
- Cleveland, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9939
- 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
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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Physical Therapy, LLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1376796342
Physical Therapist
-
- Physical Therapist
- Hixson, TN
- NPI 1225514110
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.