Individual provider Active NPI

Daniel Mark Hixon

  • Occupational Therapist
  • Ooltewah, TN
National Provider Identifier
1083437354
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4872 Issued in TN
Practice address
1776 Generations Way
Ooltewah, TN 37363-1739
Phone
(877) 776-4683
NPI assigned
Nov 5, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4872 TN Primary
Gerontology Occupational Therapist 225XG0600X 4872 TN

Addresses

Primary practice location

1776 Generations Way
Ooltewah, TN 37363-1739

Mailing address

9233 Evening Shadow Dr
Chattanooga, TN 37421-3408
Phone (423) 322-9516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241221000104 TN Practitioner - Occupational Therapist in Private Practice 9335676808 Reassigns benefits to 1 organization
I20250111000185 GA Practitioner - Occupational Therapist in Private Practice 9335676808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Weston Group IncGroup PAC ID 8123936796, 215 clinicians
The Weston Group of Tennessee IncGroup PAC ID 9436377355, 20 clinicians

Practice addresses (Care Compare)

1100 Reinhardt College Pkwy
Canton, GA 30114-2011
Phone (770) 721-2812

14 Fort Town Dr
Fort Oglethorpe, GA 30742-4051
Phone (610) 991-2034

1776 Generations Way
Ooltewah, TN 37363-1739
Phone (423) 212-1208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4872TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Weston Group of Tennessee Inc Occupational Therapist CurrentSince Dec 7, 2024 Accepting new patients
The Weston Group Inc. CurrentSince Dec 20, 2024 Accepting new patients
The Weston Group Inc. Occupational Therapist CurrentSince Dec 20, 2024 Accepting new patients

Locations

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

1776 Generations Way
Ooltewah, TN 37363
Phone (423) 212-1208

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1083437354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9233 EVENING SHADOW DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213408",
            "telephone_number": "423-322-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 GENERATIONS WAY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373631739",
            "telephone_number": "877-776-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXON",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "4872",
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "TN",
            "license": "4872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.