ATHLETIC EDGE PHYSICAL THERAPY (NPI# 1043766975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043766975 |
Entity Type | Organization |
Organization Name | ATHLETIC EDGE PHYSICAL THERAPY |
Practice Address |
1440 Adams St Ste A Chattanooga TN 37408 |
Mailing Address |
Po Box 1132 Chattanooga TN 37401-1132 |
Practice Telephone | 4234020778 |
Practice Fax Number | 1866334026 |
Enumeration Date | 2016-08-31 |
Last Update Date | 2018-05-24 |
Authorized Official Name | DR. BRANDON TYLER WHITWORTH (OWNER/PHYSICAL THERAPIST) |
Authorized Official Telephone | 6317909798 |
Authorized Official Credential | DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
10299 | TN | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578052650 | Athletic Edge Physical Therapy | Clinic/Center | 7 Alfred St Ste 110, Woburn, MA 01801-1900 | 2018-05-04 |
Street Address |
1440 ADAMS ST STE A |
City | CHATTANOOGA |
State | TN |
Zip Code | 37408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609287689 | Access 2 Rehab | Physical Therapist | 612 East 11th Street, Chattanooga, TN 37408 | 2014-05-13 |
1366873853 | Holli Richey | Social Worker | 320 E. Main St., Suite 200, Chattanooga, TN 37408 | 2013-12-09 |
1427397900 | Bevin Gracy | Counselor | 3069 Broad St Ste 7d, Chattanooga, TN 37408 | 2013-02-04 |
1932450756 | Tiffany Allen Hobbs | Registered Nurse | 1800 Rossville Avenue, Suite 114, Chattanooga, TN 37408 | 2012-09-20 |
1467708594 | Ctr. for Individ. & Family Effectiveness | Community/Behavioral Health | 2441 Broad St., Ste. 150, Chattanooga, TN 37408 | 2012-07-26 |
1538431192 | Brandon Tyler Whitworth | Physical Therapist | 1440 Adams St, Chattanooga, TN 37408 | 2012-01-29 |
1699059550 | David Jamison Mcdowell | Psychologist | 3097 S. Broad St., Chattanooga, TN 37408 | 2011-10-10 |
1093918385 | Jason L Reich | Counselor | 320 E Main Street, Suite 200, Chattanooga, TN 37408 | 2007-06-06 |
1063636785 | Carol Burns Stoney | Counselor | 3085 South Broad St, Suite J, Chattanooga, TN 37408 | 2007-04-12 |
1336222462 | Julia Barnhardt Coffin | Social Worker | 2601 Broad St Ste 5, Chattanooga, TN 37408 | 2006-10-23 |
Find all providers in zip 37408 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073576559 | Professional Therapy Systems Inc | Clinic/Center | 1605 Gunbarrel Rd, Ste A, Chattanooga, TN 37421-3126 | 2006-04-07 |
1245743178 | Apple Physical Medicine and Rehabilitation, PC | Clinic/Center | 7446 Shallowford Rd Ste 108, Chattanooga, TN 37421-2352 | 2017-11-14 |
1063941508 | Rehab Care Group East, LLC | Clinic/Center | 825 Runyan Dr, Chattanooga, TN 37405 | 2017-06-08 |
1821310475 | Alliance Physical Therapy, LLC | Clinic/Center | 2400 Mccallie Ave, Chattanooga, TN 37404-3301 | 2010-02-24 |
1831230762 | Maturecare of Standifer Place LLC | Clinic/Center | 2626 Walker Rd, Chattanooga, TN 37421-1116 | 2007-02-12 |
1457499477 | Nhc Healthcare Chattanooga LLC | Clinic/Center | 2700 Parkwood Ave, Chattanooga, TN 37404-1730 | 2007-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477151777 | Champion Physical Therapy, LLC | Clinic/Center | 109 Sugarfoot Way # 5, Pigeon Forge, TN 37863-6204 | 2020-10-09 |
1417588401 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 365 S Hartmann Dr Ste 102, Lebanon, TN 37087-4788 | 2020-01-29 |
1497396311 | Champion Physical Therapy LLC Halls | Clinic/Center | 4442 Frontage Rd Nw Unit 1, Cleveland, TN 37312-2903 | 2019-10-02 |
1205484805 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 4572 Poplar Ave, Memphis, TN 38117-7514 | 2019-08-28 |
1588228662 | Catalyst Physical Therapy and Performance, LLC | Clinic/Center | 1056 E Trinity Ln # 104, Nashville, TN 37216-3030 | 2019-04-24 |
1790247724 | Treehouse Therapy, Pllc | Clinic/Center | 7 Fireside Way, Signal Mountain, TN 37377-2019 | 2019-03-31 |
1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
1083101448 | Champion Physical Therapy LLC Halls | Clinic/Center | 4307 N Roan St Ste 7, Johnson City, TN 37615-4973 | 2018-04-20 |
1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
1083101463 | Champion Physical Therapy LLC Halls | Clinic/Center | 109 Sugarfoot Way Ste 5, Pigeon Forge, TN 37863-6204 | 2018-04-20 |
Find all providers with the same taxonomy |
City | CHATTANOOGA |
Zip Code | 37408 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.