Wave Physical Therapy, Incorporated

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

5322 Issued in TN

Legal business name

WAVE PHYSICAL THERAPY, INCORPORATED

Practice address

4204 Benton Dr
Chattanooga, TN 37406-1256

Phone

(423) 227-0386

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Renee Berger, MSPTNPI 1417945205

Title

Owner

Phone

(423) 227-0386

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nicole R Berger, MSPT

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1417945205
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932291002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 BENTON DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374061256",
            "telephone_number": "423-227-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 BENTON DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374061256",
            "telephone_number": "423-227-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE PHYSICAL THERAPY, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-227-0386",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "5322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Watson
• Stacye E Watson, NP-C
• Jana S. Watters, N.P.
• Jeffrey Watts, R.N.
• McKinley Jackson Waugh, DNP, CPNP-PC
• Waves Wellness & Counseling Services LLC
• Chala Wayu
• We Go Transportation LLC
• Emma J Weatherbee
• April Gayle Weatherford, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.