Active NPI
Steven Thomas Chipman, P.T.
- Physical Therapist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7764
- Practice address
- 6286 Briarcrest Ave Ste 110
Memphis, TN 38120-4023 - Phone
- (901) 641-3000
- Fax
- (901) 259-1698
- NPI assigned
- Sep 14, 2007
- Sex
- Male
- 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 | 7764 | TN | Primary |
Addresses
Primary practice location
6286 Briarcrest Ave Ste 110
Memphis, TN 38120-4023
Mailing address
6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5742
Phone (901) 725-8347
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620819926 | Other | TN | CIGNA |
| 110318002 | Medicaid | AR | |
| 4164332 | Other | TN | BCBS |
| 620819926 | Other | TN | TRICARE |
| 620819926 | Other | MS | BCBS |
| 7187860 | Medicaid | MS | |
| 9645091 | Other | TN | AETNA |
| 3371161 | Medicaid | TN | |
| 06031726 | Medicaid | MS | |
| 1512617 | Medicaid | TN | |
| 0723280001 | Other | TN | PALMETTO |
| 620819926 | Other | TN | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- East Tennessee State University Quillen College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6286 Briarcrest Ave
Memphis, TN 38120-4023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7764 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group, PC | Physical Therapist | Current | Accepting new patients |
| MSK Group, PC | Physical Therapist | Current | Accepting new patients |
| MSK Group PC | Physical Therapist | Past | Accepting new patients |
Locations
6286 Briarcrest Ave
Ste 110
Memphis, TN 38120
Phone (901) 259-1600
6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600
6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347
6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600
Organizations & group practices 3
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.
-
- Physical Therapist
- Southaven, MS
- NPI 1114793189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1962697789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6077 PRIMACY PKWY STE 140",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195742",
"telephone_number": "901-725-8347",
"fax_number": "901-259-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6286 BRIARCREST AVE STE 110",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204023",
"telephone_number": "901-641-3000",
"fax_number": "901-259-1698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIPMAN",
"first_name": "STEVEN",
"middle_name": "THOMAS",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-14",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "620819926",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110318002",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4164332",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "620819926",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "620819926",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7187860",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9645091",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3371161",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06031726",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1512617",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "0723280001",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "620819926",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.