Marisa Hakim, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

7410 Issued in TN

Practice address

914 Industrial Park Rd
Dandridge, TN 37725-4700

Phone

(865) 397-3163

NPI assigned

Mar 6, 2024

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1619735537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 HARDWOOD RD APT 1",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "377641494",
            "telephone_number": "865-606-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 INDUSTRIAL PARK RD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254700",
            "telephone_number": "865-397-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "MARISA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "7410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya M Greene, CPHT
• Evelyn Tracy Griffin
• Teresa Beverly Griffin, MD,PHD
• Stacey L Guthrie, LPC/MHSP, NCC, ACS
• Brittany Haase
• Victoria McKenzie Hale, MD
• Ann Harrell, SLP
• Wendy Elizabeth Harris, RN, WHNP
• Sara Hartman, CPHT
• Eric Francis Hasemeier, DO

• Physical Therapy Assistant in Dandridge, TN
• Providers in Dandridge, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.