Individual provider Active NPI

Andrea Leigh Abercrombie, PT

  • Orthopedic Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1851316939
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT9307 Issued in TN
Practice address
1941 Dayton Blvd
Chattanooga, TN 37415-6409
Phone
(423) 299-5461
Fax
(423) 602-5461
NPI assigned
Jul 12, 2006
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT9307 TN Primary

Addresses

Primary practice location

1941 Dayton Blvd
Chattanooga, TN 37415-6409

Mailing address

1941 Dayton Blvd
Chattanooga, TN 37415-6409
Phone (423) 299-5461

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

State licenses

LicenseStateTypeSpecialty
9307TNMDGeneral Practice Dentistry
PT9307TNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
River City Physical Therapy, LLC CurrentSince May 29, 2022 Accepting new patients
Birmingham Physical Therapy & Sports Medicine Inc Physical Therapist PastSince Jul 1, 2005 Accepting new patients
Agilitas USA Inc Physical Therapist Past Accepting new patients

Locations

1941 Dayton Blvd
Chattanooga, TN 37415
Phone (423) 299-5461

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1851316939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 DAYTON BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156409",
            "telephone_number": "423-299-5461",
            "fax_number": "423-602-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 DAYTON BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156409",
            "telephone_number": "423-299-5461",
            "fax_number": "423-602-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERCROMBIE",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "PT9307",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 24, 2022; 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.