Active NPI
Alexandria Deimling Shumaker, DPT
- Physical Therapist
- Chattanooga, TN
National Provider Identifier
1902048242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8105
- Practice address
- 1 Siskin PLZ
Chattanooga, TN 37403-1306 - Phone
- (423) 634-1389
- Fax
- (423) 634-4578
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8105 | TN | Primary |
Addresses
Primary practice location
1 Siskin PLZ
Chattanooga, TN 37403-1306
Mailing address
1 Siskin PLZ
Chattanooga, TN 37403-1306
Phone (423) 634-1389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446636 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8105 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East, LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1902048242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SISKIN PLZ",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374031306",
"telephone_number": "423-634-1389",
"fax_number": "423-634-4578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SISKIN PLZ",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374031306",
"telephone_number": "423-634-1389",
"fax_number": "423-634-4578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMAKER",
"first_name": "ALEXANDRIA",
"middle_name": "DEIMLING",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "8105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446636",
"state": "TN"
}
],
"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 Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.