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PINNACLE PHYSICAL MEDICINE & REHAB NPI 1457498404


NPI Information

NPI: 1457498404
Provider Name: PINNACLE PHYSICAL MEDICINE & REHAB
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 44D2157480

Address:
2605 JENKINS RD
STE 2
CHATTANOOGA, TN
ZIP 37421
Phone: (422) 385-5505
Get Directions

PINNACLE PHYSICAL MEDICINE & REHAB is a chiropractor in Chattanooga, TN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PINNACLE PHYSICAL MEDICINE & REHAB NPI is 1457498404. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2605 JENKINS RD
STE 2
CHATTANOOGA, TN
ZIP 37421-177
Phone: (422) 385-5505
Fax: (423) 855-5856

The provider's authorized official is Ted S Showalter .
The authorized official title is President and has the following contact phone number (423) 855-5053.

The CLIA number assigned to this NPI record is 44D2157480 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 2/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & RehabilitationNo
2225100000XPhysical TherapistNo
3111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13723232MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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