Organization Active NPI

Ooltewah Reach Health and Wellness PLLC

  • Chiropractor
  • Collegedale, TN
National Provider Identifier
1861196495
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OOLTEWAH REACH HEALTH AND WELLNESS PLLC
Practice address
5564 Little Debbie Pkwy Ste 108
College Dale, TN 37363-4333
Phone
(423) 498-3400
NPI assigned
Mar 28, 2023
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Rhonda Blackwell
Title
Office Manager
Phone
(423) 498-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

5564 Little Debbie Pkwy Ste 108
College Dale, TN 37363-4333

Mailing address

5564 Little Debbie Pkwy Ste 108
College Dale, TN 37363-4333

National Provider Directory

National Provider Directory

Locations

5564 Little Debbie Pkwy
Ste 108
College Dale, TN 37363
Phone (423) 498-3400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1861196495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 LITTLE DEBBIE PKWY STE 108",
            "city": "COLLEGE DALE",
            "state": "TN",
            "postal_code": "373634333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 LITTLE DEBBIE PKWY STE 108",
            "city": "COLLEGE DALE",
            "state": "TN",
            "postal_code": "373634333",
            "telephone_number": "423-498-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OOLTEWAH REACH HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-498-3400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegedale, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.