Jonathan Patrick Hathcock, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1999140690 Issued in MO

Practice address

3045 S National Ave
Ste 200
Springfield, MO 65804-4247

Phone

(417) 881-2900

Fax

(417) 881-2918

NPI assigned

Nov 8, 2006

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)

Enrolled

Practice roles

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.

• Clay Therapy LLC

  • Physical Therapist
  • Springfield, MO
  • NPI 1962614503
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447320684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 E SHORE LINE DR",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657214249",
            "telephone_number": "417-894-6393",
            "fax_number": "417-881-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 S NATIONAL AVE",
            "address_2": "STE 200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044247",
            "telephone_number": "417-881-2900",
            "fax_number": "417-881-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHCOCK",
        "first_name": "JONATHAN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "1999140690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Hassenplug, DDS
• Jeffrey S Hasson, OD
• Victoria Haston, LPC
• Kevin Dean Hatfield, D.C.
• Pamela Lee Hatfield, LPT
• Kayelin Hathorn, ACNP
• Jacqueline A. Hauer, M.D.
• Krista Ann Haugland, OTR
• Mitchell Dean Hauschildt, MA, ATC, CSCS
• Sanjay Havaldar, MD

• Physical Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.