Keith Hausman, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000000900 Issued in TN

Practice address

980 Lone Rd
Pioneer, TN 37847-4236

Phone

(423) 784-4704

Fax

(423) 784-1865

NPI assigned

Dec 14, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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.

• Premier Rehab, Inc.

  • Rehabilitation Clinic/Center
  • Pioneer, TN
  • NPI 1295274827
  NPD (past) Authorized official
• PT Solutions Holdings, LLC

  • Physical Therapist
  • Williamsburg, KY
  • NPI 1770090441
  NPD (past)
• Saint Joseph Health System, Inc.

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1285301234
  NPD (past)

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

{
    "created_epoch": "1418515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418515200000",
    "number": "1508264144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377620541",
            "telephone_number": "423-784-4704",
            "fax_number": "423-784-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 LONE RD",
            "city": "PIONEER",
            "state": "TN",
            "postal_code": "378474236",
            "telephone_number": "423-784-4704",
            "fax_number": "423-784-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSMAN",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-14",
        "last_updated": "2014-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000000900",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT001043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Rehab, Inc.
• Therapy on the Move
• Heather Nicole Yoakum, COTA

• All providers in Pioneer, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2014; 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.