Active NPI
Janie Christine Hitchcock, PT
- Physical Therapist
- Blue Ridge, GA
National Provider Identifier
1154079853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006929
- Practice address
- 1600 Ballewtown Rd
Blue Ridge, GA 30513-5337 - Phone
- (706) 933-0006
- NPI assigned
- Mar 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT006929 | GA | Primary |
Addresses
Primary practice location
1600 Ballewtown Rd
Blue Ridge, GA 30513-5337
Mailing address
55 Mountain Tops CT
Blue Ridge, GA 30513-7511
Phone (404) 304-4221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260508000378 | GA | Practitioner - Physical Therapist in Private Practice | 8820566748 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2222 Sullivan TRL
Easton, PA 18040-7958
55 Mountain Tops CT
Blue Ridge, GA 30513-7511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006929 | GA | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647129600000",
"number": "1154079853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MOUNTAIN TOPS CT",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305137511",
"telephone_number": "404-304-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 BALLEWTOWN RD",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305135337",
"telephone_number": "706-933-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITCHCOCK",
"first_name": "JANIE",
"middle_name": "CHRISTINE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-13",
"last_updated": "2022-03-13",
"certification_date": "2022-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT006929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; 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.