Active NPI
Jennifer Danielle Hataway, MPT
- Physical Therapist
- Pampa, TX
National Provider Identifier
1124281811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1116267
- Practice address
- 701 N Price Rd
Pampa, TX 79065-5126 - Phone
- (806) 665-7261
- Fax
- (806) 665-0537
- NPI assigned
- Jul 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1116267 | TX | Primary |
| Geriatric Physical Therapist | 2251G0304X | 1116267 | TX | |
| Neurology Physical Therapist | 2251N0400X | 1116267 | TX | |
| Pediatric Physical Therapist | 2251P0200X | 1116267 | TX | |
| Sports Physical Therapist | 2251S0007X | 1116267 | TX | |
| Orthopedic Physical Therapist | 2251X0800X | 1116267 | TX |
Addresses
Primary practice location
701 N Price Rd
Pampa, TX 79065-5126
Mailing address
701 N Price Rd
Pampa, TX 79065-5126
Phone (806) 665-7261
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1124281811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N PRICE RD",
"city": "PAMPA",
"state": "TX",
"postal_code": "790655126",
"telephone_number": "806-665-7261",
"fax_number": "806-665-0537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N PRICE RD",
"city": "PAMPA",
"state": "TX",
"postal_code": "790655126",
"telephone_number": "806-665-7261",
"fax_number": "806-665-0537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATAWAY",
"first_name": "JENNIFER",
"middle_name": "DANIELLE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1116267",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "1116267",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "TX",
"license": "1116267",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1116267",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TX",
"license": "1116267",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1116267",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pampa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.