Active NPI
Andrew Marshall Hatch Jr., PT
- Physical Therapist
- Fort Payne, AL
National Provider Identifier
1437180809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH3406
- Practice address
- 1102 Dekalb Plaza Blvd SW
Fort Payne, AL 35967-4868 - Phone
- (256) 997-9991
- Fax
- (256) 997-9950
- NPI assigned
- Jul 5, 2006
- 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 | PTH3406 | AL | Primary |
Addresses
Primary practice location
1102 Dekalb Plaza Blvd SW
Fort Payne, AL 35967-4868
Mailing address
1102 Dekalb Plaza Blvd SW
Fort Payne, AL 35967-4868
Phone (256) 997-9991
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26-0468379 | Other | TID | |
| 51596286 | Other | BCBS | |
| 1013114065 | Other | AL | NPI ORGANIZATION NUMBER |
| 1437180809 | Other | NPI | |
| 510I650207 | Other | MEDICARE PTAN | |
| PTH3406 | Other | AL | PHYSICAL THERAPY |
| 51048428 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17495 Al Hwy 75
Henagar, AL 35978-5629
Phone (256) 657-3626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3406 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Physical Therapy, LLC | Current | Accepting new patients | |
| Performance Group Cullman, LLC | Physical Therapist | Past | Accepting new patients |
| Rehab Partners, P.C. | Past | Accepting new patients | |
| Performance Group Albertville | Physical Therapist | Past | Accepting new patients |
| Prohealth Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
41340 AL Highway 75
Geraldine, AL 35974
Phone (256) 657-3626
17495 AL Highway 75
Henagar, AL 35978
Phone (256) 657-3626
Organizations & group practices 5
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.
-
- Specialist
- Henagar, AL
- NPI 1518036946
-
- Physical Therapist
- Albertville, AL
- NPI 1669481222
-
- Physical Therapist
- Cullman, AL
- NPI 1588673131
-
- Local Education Agency (LEA)
- Fort Payne, AL
- NPI 1013114065
Physical Therapist
-
- Physical Therapy Clinic/Center
- Gadsden, AL
- NPI 1750383998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1437180809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 DEKALB PLAZA BLVD SW",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359674868",
"telephone_number": "256-997-9991",
"fax_number": "256-997-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 DEKALB PLAZA BLVD SW",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359674868",
"telephone_number": "256-997-9991",
"fax_number": "256-997-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "ANDREW",
"middle_name": "MARSHALL",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH3406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TID",
"identifier": "26-0468379",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51596286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI ORGANIZATION NUMBER",
"identifier": "1013114065",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1437180809",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "510I650207",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "PTH3406",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51048428",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Payne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.