Active NPI
Sylvia Rene'E Phillips
- Massage Therapist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7947
- Practice address
- 2020 Gunbarrel Rd Ste 194
Suite 124
Chattanooga, TN 37421 - Phone
- (423) 653-7596
- NPI assigned
- Jun 21, 2017
- Last updated
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U02468 | MD | |
| Massage Therapist | 225700000X | 7947 | TN | Primary |
Addresses
Primary practice location
2020 Gunbarrel Rd Ste 194
Suite 124
Chattanooga, TN 37421
Mailing address
9425 Mountain Shadows Dr
Chattanooga, TN 37421-3455
Phone (423) 653-7596
Other practice location 1
5006 University Dr W
Collegedale, TN 37315-5006
Phone (678) 878-3069
Other practice location 2
1510 Stuart Rd NE Ste 201
Cleveland, TN 37312-5869
Phone (678) 878-3069
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U02468 | MD | MD | Acupuncturist |
| 7947 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Waters Conceirge TCM | Acupuncturist | Current | Accepting new patients |
Locations
2020 Gunbarrel Rd
Ste 194
Chattanooga, TN 37421
Phone (423) 320-3586
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1932629029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9425 MOUNTAIN SHADOWS DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213455",
"telephone_number": "423-653-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 GUNBARREL RD STE 194",
"address_2": "SUITE 124",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37421",
"telephone_number": "423-653-7596"
}
],
"practiceLocations": [
{
"address_1": "5006 University Dr W",
"address_purpose": "LOCATION",
"city": "Collegedale",
"state": "TN",
"postal_code": "373155006",
"country_code": "US",
"telephone_number": "678-878-3069",
"fax_number": "678-878-4455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1510 Stuart Rd NE Ste 201",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "TN",
"postal_code": "373125869",
"country_code": "US",
"telephone_number": "678-878-3069",
"fax_number": "678-878-4455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "SYLVIA",
"middle_name": "RENE'E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02468",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "7947",
"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 Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.