Individual provider Active NPI

Brian Christopher Newsom, PT, DPT

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1891219192
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11247 Issued in TN
Practice address
2158 Northgate Park LN Ste 200
Chattanooga, TN 37415-6911
Phone
(423) 254-5461
Fax
(800) 385-7439
NPI assigned
Jul 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 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 PT013154 GA
Physical Therapist 225100000X 11247 TN Primary

Addresses

Primary practice location

2158 Northgate Park LN Ste 200
Chattanooga, TN 37415-6911

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000

Other practice location 1

1467 N Mack Smith Rd
East Ridge, TN 37412-3947
Phone (423) 894-4403

Other practice location 2

1394 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4010
Phone (706) 858-0232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170912000509 TN Practitioner - Physical Therapist in Private Practice 2466725502 Reassigns benefits to 3 organizations
I20171025001266 GA Practitioner - Physical Therapist in Private Practice 2466725502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Rehabilitation and SportsGroup PAC ID 1759481559, 53 clinicians

Practice addresses (Care Compare)

2158 Northgate Park LN
Suite 200
Chattanooga, TN 37415-6911
Phone (423) 254-5461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11247TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 5, 2022 Accepting new patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 19, 2017 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Aug 7, 2017 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 19, 2017 Accepting new patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Dec 5, 2022 Accepting new patients

Locations

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

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1394 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 858-0252

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

2158 Northgate Park Ln
Ste 200
Chattanooga, TN 37415
Phone (423) 254-5461

313 Manufacturers Rd
Ste C215
Chattanooga, TN 37405
Phone (423) 254-5461

7443 Commons Blvd
Ste 112
Chattanooga, TN 37421
Phone (423) 254-5461

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1700 Broad St
Ste 120
Chattanooga, TN 37408
Phone (423) 254-5461

862 Callen Ln NW
Ste 100
Cleveland, TN 37312
Phone (423) 254-5461

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

1467 N Mack Smith Rd
East Ridge, TN 37412
Phone (423) 894-4403

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

820 Scenic Hwy
Ste B
Lookout Mtn, TN 37350
Phone (423) 825-1393

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

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

Organizations & group practices 7

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1891219192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 NORTHGATE PARK LN STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156911",
            "telephone_number": "423-254-5461",
            "fax_number": "800-385-7439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1467 N Mack Smith Rd",
            "address_purpose": "LOCATION",
            "city": "East Ridge",
            "state": "TN",
            "postal_code": "374123947",
            "country_code": "US",
            "telephone_number": "423-894-4403",
            "fax_number": "423-894-4513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1394 Battlefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ft Oglethorpe",
            "state": "GA",
            "postal_code": "307424010",
            "country_code": "US",
            "telephone_number": "706-858-0232",
            "fax_number": "706-858-0323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-28",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013154",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11247",
            "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 Jul 3, 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.