Clark Hastings, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3596 Issued in TN

Practice address

215 Highland Circle Dr
Portland, TN 37148-4918

Phone

(615) 325-9263

NPI assigned

Feb 6, 2017

Last updated

Feb 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1386182764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HIGHLAND CIRCLE DR",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371484918",
            "telephone_number": "615-325-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HIGHLAND CIRCLE DR",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371484918",
            "telephone_number": "615-325-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "CLARK",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "3596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Lynn Frady, L.C.S.W.
• Marcos Franco, PT
• Shelby Harpel, DNP, APRN, FNP-BC
• Elizabeth Harrington
• Jennifer Lynn Harris, PHARM.D.
• Hendersonville Hospital Corporation (TriStar Portland Medical Park, a department of TriStar Hendersonville Medical Center)
• Hendersonville Hospital Corporation (Portland Medical Center)
• Chasity Henson
• Julie A. Hicks, RN
• Lydia Ellen Hicks, RN

• Physical Therapy Assistant in Portland, TN
• Providers in Portland, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.