Individual provider Active NPI

Jacob Honea, DPT

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1346809696
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12266 Issued in TN
Practice address
313 Manufacturers Rd # C215
Chattanooga, TN 37405-3274
Phone
(423) 254-5461
NPI assigned
Jun 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12266 TN Primary

Addresses

Primary practice location

313 Manufacturers Rd # C215
Chattanooga, TN 37405-3274

Mailing address

8304 Grinder Creek PL
Chattanooga, TN 37421-2743
Phone (931) 247-3407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190824000364 TN Practitioner - Physical Therapist in Private Practice 2961730270 Reassigns benefits to 1 organization
I20241127002491 GA Practitioner - Physical Therapist in Private Practice 2961730270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Rehabilitation and SportsGroup PAC ID 1759481559, 53 clinicians

Practice addresses (Care Compare)

2158 Northgate Park LN
Suite 200
Chattanooga, TN 37415-6911
Phone (423) 254-5461

3460 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4007
Phone (706) 719-2253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Jun 24, 2019 Accepting new patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Jun 24, 2019 Accepting new patients

Locations

3460 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 719-2253

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

501 Forest Ln
Ste A
Clemson, SC 29631
Phone (864) 654-2001

1700 Broad St
Ste 120
Chattanooga, TN 37408
Phone (423) 254-5461

313 Manufacturers Rd
Ste C215
Chattanooga, TN 37405
Phone (423) 254-5461

2158 Northgate Park Ln
Ste 200
Chattanooga, TN 37415
Phone (423) 254-5461

7443 Commons Blvd
Ste 112
Chattanooga, TN 37421
Phone (423) 254-5461

862 Callen Ln NW
Ste 100
Cleveland, TN 37312
Phone (423) 254-5461

Organizations & group practices 2

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1346809696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8304 GRINDER CREEK PL",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212743",
            "telephone_number": "931-247-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MANUFACTURERS RD # C215",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053274",
            "telephone_number": "423-254-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONEA",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.