Hayden Ross Ervin, PTA
Individual provider Active NPI Physical Therapy Assistant · Sparta, TN
NPI 1013465772 · NPPES record last updated Mar 8, 2019
Key facts
- NPI
- 1013465772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA0000006339 (TN)
- Practice address
- 550 N Spring St
Sparta, TN 38583 - Phone
- (931) 837-2221
- NPI assigned
- Sep 12, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA0000006339 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA0000006339 | TN | Yes |
Addresses
Primary practice location
550 N Spring St
Sparta, TN 38583
Mailing address
4129 New Home Rd
Smithville, TN 37166-6409
Phone (615) 598-2483
Other practice location 1
34 Gracey St
Sparta, TN 38583-2046
Phone (931) 836-2211
Other practice location 2
550 N Spring St
Sparta, TN 38583
Phone (931) 837-2221
Other providers in Sparta, TN
- Mason Bailey Doss
- Alan Ross Drake
- Jessica Draper
- Patrick L Duke
- Amanda Marie Dunsmore
- Tracy L Eschelbacher
- Eye Care Associates of Sparta
- Eye Centers of Tennessee, LLC
- Falling Water Pharmacy, LLC
- Falling Water Pharmacy, LLC
All providers in Sparta, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.