Active NPI
John Dutton, P.T.
- Physical Therapist
- Cleveland, TN
National Provider Identifier
1598829194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5868
- Practice address
- 2700 Westside Dr NW
Suite 103
Cleveland, TN 37312-3699 - Phone
- (423) 614-0097
- NPI assigned
- Dec 20, 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 | 5868 | TN | Primary |
Addresses
Primary practice location
2700 Westside Dr NW
Suite 103
Cleveland, TN 37312-3699
Mailing address
2700 Westside Dr NW
Suite 103
Cleveland, TN 37312-3699
Phone (423) 614-0097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5868 | Other | TN | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5868 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristate Orthopedics | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCDIAD
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598829194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WESTSIDE DR NW",
"address_2": "SUITE 103",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123699",
"telephone_number": "423-614-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 WESTSIDE DR NW",
"address_2": "SUITE 103",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123699",
"telephone_number": "423-614-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTTON",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "5868",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "5868",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, TN
Sources for this page
- 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.