Organization Active NPI

Therapeutic Associates LLC

  • Home Health Agency
  • Clinton, TN
National Provider Identifier
1497832067
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4932 Issued in TN
Legal business name
THERAPEUTIC ASSOCIATES LLC
Practice address
562 Mariner Point Dr
Clinton, TN 37716-7925
Phone
(865) 457-6465
Fax
(865) 381-1205
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Scott Hoppestad, RPT, MS, EDD
Title
President
Phone
(865) 457-6465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4932 TN Primary

Addresses

Primary practice location

562 Mariner Point Dr
Clinton, TN 37716-7925

Mailing address

562 Mariner Point Dr
Clinton, TN 37716-7925
Phone (865) 457-6465

Other identifiers 1

IdentifierTypeStateIssuer
262OtherTNDEPT OF MENTAL RETARDATIO

Other names 1

  • Brian S. Hoppestad, RPT, MS, EdD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497832067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 MARINER POINT DR",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377167925",
            "telephone_number": "865-457-6465",
            "fax_number": "865-381-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 MARINER POINT DR",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377167925",
            "telephone_number": "865-457-6465",
            "fax_number": "865-381-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOPPESTAD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-457-6465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPT, MS, EDD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "4932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF MENTAL RETARDATIO",
            "identifier": "262",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian S. Hoppestad, RPT, MS, EdD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.