Individual provider Active NPI

Sydney Herndon

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1861165474
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13782 Issued in TN
Practice address
502 N Market St Ste 102
Chattanooga, TN 37405-4438
Phone
(423) 634-1922
Fax
(423) 634-1924
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TN
Physical Therapist 225100000X 13782 TN Primary

Addresses

Primary practice location

502 N Market St Ste 102
Chattanooga, TN 37405-4438

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other names 1

  • Sydney Neal Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831002172 TN Practitioner - Physical Therapist in Private Practice 3072919034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

502 N Market St
Suite 102
Chattanooga, TN 37405-4438
Phone (423) 664-1070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 7, 2022 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients
Agilitas USA, Inc CurrentSince Mar 7, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3754 Murfreesboro Pike
Antioch, TN 37013
Phone (629) 208-6200

502 N Market St
Ste 102
Chattanooga, TN 37405
Phone (423) 634-1922

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

520 Highland Ter
Ste A
Murfreesboro, TN 37130
Phone (615) 896-6866

1272 Garrison Dr
Ste 303
Murfreesboro, TN 37129
Phone (615) 849-9358

100 Hunters Ln
Ste 200
Tullahoma, TN 37388
Phone (931) 455-1980

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 4

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1861165474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N MARKET ST STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374054438",
            "telephone_number": "423-634-1922",
            "fax_number": "423-634-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "NEAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 7, 2024; 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.