NPIMap

Organization Active NPI

Pediatrics Plus, Inc.

  • Pediatric Occupational Therapist
  • Chattanooga, TN
National Provider Identifier
1932234788
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
PEDIATRICS PLUS, INC.
Practice address
4295 Cromwell Rd
Ste 206
Chattanooga, TN 37421-2166
Phone
(423) 894-4774
Fax
(423) 894-4775
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Kim Steele
Title
Administrative Director
Phone
(423) 894-4774

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

4295 Cromwell Rd
Ste 206
Chattanooga, TN 37421-2166

Mailing address

PO Box 903
Hixson, TN 37343-0903
Phone (423) 894-4774

Other identifiers 2

IdentifierTypeStateIssuer
00446653MedicaidTN
3156781OtherTNBLUE CROSS BLUE SHEILD

Other names 1

  • Peds Plus Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040220001080 TN Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9537054101 Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

4071 S Access Rd
Ste 106
Chattanooga, TN 37406
Phone (423) 894-4774

109 N Germantown Rd
Chattanooga, TN 37411
Phone (423) 894-4774

4295 Cromwell Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 894-4774

4071 S Access Rd
Ste 108
Chattanooga, TN 37406
Phone (423) 894-4774

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1932234788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 903",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373430903",
            "telephone_number": "423-894-4774",
            "fax_number": "423-894-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 CROMWELL RD",
            "address_2": "STE 206",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212166",
            "telephone_number": "423-894-4774",
            "fax_number": "423-894-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "423-894-4774"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00446653",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "3156781",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peds Plus",
            "code": "5",
            "type": "Other 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 Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.