Paul Ned Iverson, DPT, MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6542 Issued in TN

Practice address

1201 Market St Ste a
Chattanooga, TN 37402-2714

Phone

(423) 648-4490

Fax

(423) 648-4491

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Chattanooga Physical TherapyGroup PAC ID 8022256130, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chattanooga Physical Therapy

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1659508604

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1861500993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MARKET ST STE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022714",
            "telephone_number": "423-648-4490",
            "fax_number": "423-648-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MARKET ST STE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022714",
            "telephone_number": "423-648-4490",
            "fax_number": "423-648-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "PAUL",
        "middle_name": "NED",
        "name_prefix": "Dr.",
        "credential": "DPT, MTC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "6542",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ehrin M. Irvin, FNP
• Jessica Irvin, MSW
• Christian Wrenea Irwin, M.S.
• Rebekah Irwin, LPC-MHSP, LPC, NCC
• Timothy Logan Irwin, PT, DPT
• Ernest Rackley Ivey, M.D.
• Sheryl A Ivey, CRNA
• Iyouth Limited
• Adriana Izquierdo, LMSW
• J & a Enterprises Inc

• Physical Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.