Unknown Individual – Physical Therapist, NPI 1801295456

Unknown Individual is a healthcare provider. based in Ooltewah, Tennessee. specializing in Physical Therapist. The NPI Number for Unknown Individual is 1801295456

Main info

Organization
Inactive
12 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1801295456
Phone
(423) 238-8907
Address
8823 PRODUCTION LN
Deactivation Date
21 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3343220601
Graduation Year
2014 (12 years ago)
PAC ID
0042534604
Group Practice PAC ID
0547509374
Professional Enrollment ID
I20150130001384
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 8823 PRODUCTION LN

    OOLTEWAH, TN 373636511

    Phone: (423) 238-8907

    Fax: (423) 954-7408

    Type: Mailing

  • 455 PHILIP BLVD

    BLDG 100, STE 160

    LAWRENCEVILLE, GA 300468767

    Phone: (678) 985-0238

    Fax: (678) 985-0136

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29250$0
97140Therapy procedure using manual technique, each 15 minutes27445$0
97530Therapy procedure using functional activities27350$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes25848$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care11432$0
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Insurance plans in this area (ZIP 37363)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYGA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1043126
PHYSICAL THERAPYGA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes859112

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547509374View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1801295456 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Ooltewah, Tennessee for Unknown Individual; expand the address list for detail.
What if Ooltewah, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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NPI: 1699738831