Provider Demographics
NPI:1275796336
Name:CHALONA, ANDREW SPRINGFIELD (PT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:SPRINGFIELD
Last Name:CHALONA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:
Practice Address - Street 1:2257 N GERMANTOWN PKWY STE 101
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-7405
Practice Address - Country:US
Practice Address - Phone:901-759-9210
Practice Address - Fax:901-759-9138
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8085225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN620819926OtherCIGNA
TNP00863611OtherRAILROAD MEDICARE
MS7187860Medicaid
TN620819926OtherAETNA
MS04955588Medicaid
AR110318002Medicaid
TN1512531Medicaid
TN3371161Medicaid
TN4189833OtherBCBS
TN620819926OtherTRICARE
TN9197169OtherAETNA
MS620819926OtherBCBS
TN620819926OtherTRICARE
TN3371161Medicaid