Active NPI
Nathan Hitchens, PTA
- Physical Therapy Assistant
- Warren, MI
National Provider Identifier
1073962031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502004875
- Practice address
- 28001 Schoenherr Rd
Ste 6
Warren, MI 48088-4396 - Phone
- (586) 806-6284
- Fax
- (586) 806-6274
- NPI assigned
- Jun 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502004875 | MI | Primary |
Addresses
Primary practice location
28001 Schoenherr Rd
Ste 6
Warren, MI 48088-4396
Mailing address
33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4258
Phone (586) 416-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502004875 | MI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1073962031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE",
"address_2": "SUITE 104",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-416-9100",
"fax_number": "586-416-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28001 SCHOENHERR RD",
"address_2": "STE 6",
"city": "WARREN",
"state": "MI",
"postal_code": "480884396",
"telephone_number": "586-806-6284",
"fax_number": "586-806-6274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITCHENS",
"first_name": "NATHAN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502004875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.