Individual provider Active NPI

Douglas J. Hattermann, PT

  • Orthopedic Physical Therapist
  • Stockbridge, GA
National Provider Identifier
1467416115
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT007210 Issued in GA
Practice address
135 N Park PL Ste 210
Stockbridge, GA 30281-7209
Phone
(770) 892-0273
Fax
(470) 878-1495
NPI assigned
Apr 12, 2006
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT007210 GA Primary

Addresses

Primary practice location

135 N Park PL Ste 210
Stockbridge, GA 30281-7209

Mailing address

PO Box 16681
Belfast, ME 04915-4061
Phone (770) 892-0273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140522001976 GA Practitioner - Physical Therapist in Private Practice 7810110665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Wisconsin School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

135 N Park PL
Suite 210
Stockbridge, GA 30281-7209
Phone (770) 892-0300

Merit-based Incentive Payment System (MIPS)

Final score
82.64 of 100Reported as group
Quality
69.91
Promoting interoperability
100
Improvement activities
40
Cost
72.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Orthopaedics and Spine Institute, LLC CurrentSince Dec 4, 2018 Accepting new patients
Atlanta Knee and Shoulder Clinic PC CurrentSince Feb 1, 2014 Accepting new patients
Regenerative Orthopaedics and Spine Institute, LLC CurrentSince Dec 4, 2018 Accepting new patients
Regenerative Orthopaedics and Spine Institute, LLC Past Accepting new patients

Locations

3200 Downwood Cir NW
Ste 410
Atlanta, GA 30327
Phone (404) 352-4779

135 N Park Pl
Ste 210
Stockbridge, GA 30281
Phone (770) 892-0273

Interoperability endpoints

  • Direct secure messaging: douglas.hattermann.1@12239.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12239/brand/2/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1467416115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16681",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154061",
            "telephone_number": "770-892-0273",
            "fax_number": "470-878-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N PARK PL STE 210",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817209",
            "telephone_number": "770-892-0273",
            "fax_number": "470-878-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTERMANN",
        "first_name": "DOUGLAS",
        "middle_name": "J.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT007210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.