Troy J Hattan, PHYSICAL THERAPIST

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2366 Issued in OR

Practice address

525 SE Washington St
Dallas, OR 97338-2834

Phone

(503) 623-7305

Fax

(503) 623-7325

NPI assigned

Jun 9, 2020

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Medicare reassignment Care Compare group NPD
• Salem Health West Valley

  • Critical Access Hospital
  • Dallas, OR
  • NPI 1245237486
  Medicare reassignment NPD
• Salem Health

  • Durable Medical Equipment & Medical Supplies
  • Keizer, OR
  • NPI 1487434775
  NPD

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1144845769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SE WASHINGTON ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382834",
            "telephone_number": "503-623-7305",
            "fax_number": "503-623-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SE WASHINGTON ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382834",
            "telephone_number": "503-623-7305",
            "fax_number": "503-623-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTAN",
        "first_name": "TROY",
        "middle_name": "J",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "2366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2366",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John C Hadley, DO
• Amber Nikkita Hambas, INTERN
• Kerry Hammerschmith, LCSW, CADCII, MAC
• Brandi Autumn Hannon
• Kristine Harmon
• Amber Marie Hawkins, LMT
• Healthpro Heritage Rehab & Fitness, LLC
• Geoffrey Douglas Heatherington, MSW
• Lori Jane Hedlund, CPM, LDM
• Zachary N Heffner, MSW, QMHP, CADC II

• Orthopedic Physical Therapist in Dallas, OR
• Providers in Dallas, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.