Active NPI
Cara McKenzie Hauk, PT
- Physical Therapist
- Hixson, TN
National Provider Identifier
1306131792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8948
- Practice address
- 5022 Old Godsey LN Ste 3
Hixson, TN 37343-6604 - Phone
- (423) 870-3573
- Fax
- (423) 870-3574
- NPI assigned
- Jun 14, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT8948 | TN | Primary |
Addresses
Primary practice location
5022 Old Godsey LN Ste 3
Hixson, TN 37343-6604
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT8948 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1306131792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5022 OLD GODSEY LN STE 3",
"city": "HIXSON",
"state": "TN",
"postal_code": "373436604",
"telephone_number": "423-870-3573",
"fax_number": "423-870-3574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUK",
"first_name": "CARA",
"middle_name": "MCKENZIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT8948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.