Individual provider Active NPI

Sylvia Rene'E Phillips

  • Massage Therapist
  • Chattanooga, TN
National Provider Identifier
1932629029
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7947 Issued in TN
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
U02468MDMDAcupuncturist
7947TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Waters Conceirge TCM Acupuncturist CurrentSince Dec 27, 2020 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.

Verify at the official NPI Registry.