COLLEGEDALE PHYSICAL MEDICINE, PLLC
NPI 1811649056
Clinic/Center - Pain in Ooltewah, TN

Q: What is Collegedale Physical Medicine, PLLC's NPI number?

The NPI number for Collegedale Physical Medicine, PLLC is 1811649056. It was assigned to this organization in the NPPES registry on January 19, 2022. The provider is also known as Collegedale Chiropractic.

Q: What is Collegedale Physical Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Active since January 19, 2022

9457 DAVID SMITH LN STE 103, OOLTEWAH, TN 37363(423) 238-4118(423) 238-6565 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Collegedale Physical Medicine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEGEDALE PHYSICAL MEDICINE, PLLC (NPI 1811649056) is a healthcare organization registered as a pain in Ooltewah, Tennessee and active in the NPI registry since January 2022. The organization lists Cheri Mccormick, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811649056

Entity TypeOrganization

Primary Taxonomy261QP3300X

Legal Business NameCOLLEGEDALE PHYSICAL MEDICINE, PLLC

Location Address9457 DAVID SMITH LN STE 103Ooltewah, TN 37363-7201

Mailing Address9457 David Smith Ln Ste 103Ooltewah, TN 37363-7201 · (423) 238-4118 · Fax (423) 238-6565

Phone(423) 238-4118

Fax(423) 238-6565

Organization SubpartYesParent: Collegedale Chiropractic Pllc

Authorized OfficialCheri MccormickOffice Manager · (423) 238-4118

Enumeration DateJanuary 19, 2022

NPPES CertifiedJanuary 19, 2022

✔ NPI 1811649056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities

Taxonomy Code261QP3300X

9457 DAVID SMITH LN STE 103, Ooltewah, TN 37363

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Other Names 1

Other NameCollegedale Chiropractic

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collegedale Physical Medicine, PLLC's NPI number?

The NPI number for Collegedale Physical Medicine, PLLC is 1811649056. It was assigned to this organization in the NPPES registry on January 19, 2022. The provider is also known as Collegedale Chiropractic.

Where is Collegedale Physical Medicine, PLLC located?

Collegedale Physical Medicine, PLLC is located at 9457 David Smith Ln Ste 103, Ooltewah, TN 37363. The listed phone number is (423) 238-4118.

What is Collegedale Physical Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Collegedale Physical Medicine, PLLC was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.