Jessie Higgins
Individual provider Active NPI Physical Therapist · East Ridge, TN
NPI 1205690385 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1205690385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 8907 (TN)
- Practice address
- 1417 N Mack Smith Rd
East Ridge, TN 37412-3973 - Phone
- (423) 899-6370
- NPI assigned
- Feb 9, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
7127 Lee Hwy
Chattanooga, TN 37421-6790
Phone (423) 551-9618
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240403003432 | TN | Practitioner - Physical Therapist in Private Practice | 5799123147 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8907 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current |
Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178
1417 N Mack Smith Rd
East Ridge, TN 37412
Phone (423) 453-4613
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8907 | TN | Yes |
Addresses
Primary practice location
1417 N Mack Smith Rd
East Ridge, TN 37412-3973
Mailing address
13 Woodbury CT
Ringgold, GA 30736-2890
Phone (423) 718-7608
Other providers in East Ridge, TN
- Healing Waters Counseling, LLC
- Randy Robert Heisser
- Rashunda Hemphill
- Kellie Lawrence Henderson
- Rebecca Dykes Henderson
- Eugene Erwin Hope
- Heather Hutcheson
- Independent Physical Therapy LLC
- Deangelo Laclarence Jelks
- Gregory Robert Joyner
All providers in East Ridge, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.