Jonathan Earl Hitchcock, PT, DPT
Individual provider Active NPI Physical Therapist · Pleasant View, TN
NPI 1629680822 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1629680822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13221 (TN)
- Practice address
- 1804 Pinnacle Rd Ste a
Pleasant View, TN 37146-8004 - Phone
- (931) 221-4743
- Fax
- (931) 552-0999
- NPI assigned
- Aug 19, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 29
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tennessee Orthopaedic Alliance PA
Practice addresses (Care Compare)
1804 Pinnacle Rd
Suite a
Pleasant View, TN 37146-8011
Phone (931) 552-4340
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250318001761 | TN | Practitioner - Physical Therapist in Private Practice | 3375925704 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13221 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Orthopaedic Alliance PA | Current |
Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current |
Accepting new patients | |
| Star Physical Therapy LP | Past |
Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Past | Accepting new patients | |
| Star Physical Therapy LP | Physical Therapist | Past |
Accepting new patients |
Locations
8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155
1804 Pinnacle Rd
Ste A
Pleasant View, TN 37146
Phone (931) 221-4743
Interoperability endpoints
- jonathan.hitchock.p1@direct.toa.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13221 | TN | Yes |
Addresses
Primary practice location
1804 Pinnacle Rd Ste a
Pleasant View, TN 37146-8004
Mailing address
PO Box 306556
Nashville, TN 37230-6556
Phone (615) 329-2294
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q029723 | Medicaid | TN |
NPI Registry JSON
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1629680822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306556",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306556",
"telephone_number": "615-329-2294",
"fax_number": "615-695-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 PINNACLE RD STE A",
"city": "PLEASANT VIEW",
"state": "TN",
"postal_code": "371468004",
"telephone_number": "931-221-4743",
"fax_number": "931-552-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITCHCOCK",
"first_name": "JONATHAN",
"middle_name": "EARL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-19",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "13221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q029723",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasant View, TN
- Ariel Griffin
- Thomas F Hadley
- Toniann Hart
- Emily Harvison
- Tabitha Marie Hendrix
- Annie Rose Hogan
- Mark D Hughes
- Bradley Chase Hutchinson
- Independent Physical Therapy LLC
- Alicia Pinson Jackson
All providers in Pleasant View, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.