Organization Active NPI

Hamblen Therapy Associates, Inc

  • Physical Therapist
  • Morristown, TN
National Provider Identifier
1174578728
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HAMBLEN THERAPY ASSOCIATES, INC
Practice address
2024 E Andrew Johnson Hwy
Morristown, TN 37814-5410
Phone
(423) 317-7772
Fax
(423) 317-7773
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Timothy D Humann, PTNPI 1982702791
Title
Owner/PT
Phone
(423) 235-7115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2024 E Andrew Johnson Hwy
Morristown, TN 37814-5410

Mailing address

2024 E Andrew Johnson Hwy
Morristown, TN 37814-5410
Phone (423) 586-7806

Other practice location 1

264 Highway 11 E
Bulls Gap, TN 37711-3416
Phone (423) 235-7115

Other identifiers 1

IdentifierTypeStateIssuer
3370290MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000540 TN Part B Supplier - Clinic/Group Practice 4981512944 Receives reassigned benefits from 1 practitioner
Practice locations: Morristown, TN

National Provider Directory

National Provider Directory

Locations

277 Highway 11 E
Bulls Gap, TN 37711

2024 E Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 317-7772

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1174578728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 E ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378145410",
            "telephone_number": "423-586-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 E ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378145410",
            "telephone_number": "423-317-7772",
            "fax_number": "423-317-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "264 Highway 11 E",
            "address_purpose": "LOCATION",
            "city": "Bulls Gap",
            "state": "TN",
            "postal_code": "377113416",
            "country_code": "US",
            "telephone_number": "423-235-7115",
            "fax_number": "423-235-9158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAMBLEN THERAPY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "HUMANN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "423-235-7115",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370290",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.