Active NPI
Joanne Marie Hatcher, P.T.
- Physical Therapist
- Pismo Beach, CA
National Provider Identifier
1376617852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 20731
- Practice address
- 271 Five Cities Dr
Pismo Beach, CA 93449-3009 - Phone
- (805) 473-7499
- Fax
- (805) 473-7494
- NPI assigned
- Nov 17, 2006
- 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 | PT 20731 | CA | Primary |
Addresses
Primary practice location
271 Five Cities Dr
Pismo Beach, CA 93449-3009
Mailing address
PO Box 2638
Pismo Beach, CA 93448-2638
Phone (805) 473-7499
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT20731 | Other | CA | BLUE CROSS PIN |
| PT20731 | Medicaid | CA | |
| 183834100 | Other | US DEPT OF LABOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
271 Five Cities Dr
Pismo Beach, CA 93449-3009
Phone (805) 473-7499
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 20731 | CA | MD | Physical Therapist |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Communities Physician Network, Inc. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Physical Therapist
- Pismo Beach, CA
- NPI 1760793236
-
- Health Maintenance Organization
- San Luis Obispo, CA
- NPI 1275735011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1376617852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2638",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934482638",
"telephone_number": "805-473-7499",
"fax_number": "805-473-7494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 FIVE CITIES DR",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934493009",
"telephone_number": "805-473-7499",
"fax_number": "805-473-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCHER",
"first_name": "JOANNE",
"middle_name": "MARIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 20731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PIN",
"identifier": "PT20731",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT20731",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "183834100",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pismo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.