Jillian Mary Hampton, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15078 Issued in TN

Practice address

105 Northside Park Dr
Shelbyville, TN 37160-2062

Phone

(931) 735-6451

Fax

(931) 735-6453

NPI assigned

Jun 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, TN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Drayer Physical Therapy-Alabama, LLC

  • Physical Therapist
  • Gardendale, AL
  • NPI 1023440583
  Medicare reassignment NPD
• Broad River Rehabilitation

  dba Broad River Rehab

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1902317589

  TN

  Medicare reassignment
• Drayer Physical Therapy Alabama LLC

  • Physical Therapy Clinic/Center
  • Northport, AL
  • NPI 1417593625
  NPD
• Drayer Physical Therapy-Alabama LLC

  • Physical Therapist
  • Calera, AL
  • NPI 1427448737
  NPD

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1376160234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NORTHSIDE PARK DR",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602062",
            "telephone_number": "931-735-6451",
            "fax_number": "931-735-6453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 Peoria Blvd",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325362248",
            "country_code": "US",
            "telephone_number": "570-337-2724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "JILLIAN",
        "middle_name": "MARY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37209",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camillia Rae Hadley
• Deborah Haggard, PTA
• Leanne Hale, PHARMD
• Virginia Lynn Hall
• Anissa Michelle Hammonds, PHARMD
• Hardin Family Medicine PLLC
• Brenda Hargrove
• Kenda Marshelle Harrison, NP
• Alice Erin Harwell, M.ED.
• Linda Gail Harwell

• Physical Therapist in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.