Active NPI
Jordan P Hicks, P.T.
- Physical Therapist
- Nashville, TN
National Provider Identifier
1356639199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9092
- Practice address
- 4230 Harding Pike Ste 400
Nashville, TN 37205-4900 - Phone
- (615) 921-6504
- Fax
- (615) 921-6505
- NPI assigned
- Jul 14, 2011
- Sex
- Male
- 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 | 9092 | TN | Primary |
Addresses
Primary practice location
4230 Harding Pike Ste 400
Nashville, TN 37205-4900
Mailing address
800 Crescent Centre Dr Ste 600
Franklin, TN 37067-7286
Phone (615) 373-1350
Other practice location 1
156 N Belvedere Dr
Gallatin, TN 37066-5418
Phone (615) 451-1877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4876 NW Bethany Blvd
Suite L1
Portland, OR 97229-9259
Phone (503) 466-2254
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrews & Gant Therapy, LLC | Past | Accepting new patients | |
| Agilitas USA Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Ashland, OR
- NPI 1972589364
-
- Physical Therapy Clinic/Center
- Hendersonville, TN
- NPI 1437187515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513123200000",
"number": "1356639199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CRESCENT CENTRE DR STE 600",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370677286",
"telephone_number": "615-373-1350",
"fax_number": "615-221-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 HARDING PIKE STE 400",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372054900",
"telephone_number": "615-921-6504",
"fax_number": "615-921-6505"
}
],
"practiceLocations": [
{
"address_1": "156 N Belvedere Dr",
"address_purpose": "LOCATION",
"city": "Gallatin",
"state": "TN",
"postal_code": "370665418",
"country_code": "US",
"telephone_number": "615-451-1877",
"fax_number": "615-451-1878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "JORDAN",
"middle_name": "P",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-14",
"last_updated": "2017-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "9092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.