MEDICARE: MAXMOTION PHYSICAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1366813768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAXMOTION PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	6397 LEE HWY STE 300
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-2564
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	3034 N CENTER ST STE A
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-1298
Country	:	US
Telephone Number	:	828-256-4313
Fax Number	:	828-256-4318

Authorized Official
Title or Position	:	VP REVENUE CYCLE
Name	:	KEVIN JOHANNESON
Credential	:
Telephone Number	:	423-238-8923

Provider Enumeration Date	:	10/12/2015
Last Update Date	:	09/20/2017

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Directions to “MAXMOTION PHYSICAL THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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