Maria Rossana S. Datuin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4194 Issued in TN

Practice address

616 W Forest Ave
Jackson, TN 38301-3902

Phone

(731) 422-0330

Fax

(731) 422-0220

NPI assigned

Mar 10, 2006

Last updated

Feb 14, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TN Therapy Outsource, LLCGroup PAC ID 2668725664, 13 clinicians

Patterson Physical Therapy LLCGroup PAC ID 8022259878, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patterson Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Jackson, TN
  • NPI 1770928533

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• TN Therapy Outsource, LLC

  dba Gerihab Physical Therapy and Wellness

  • Physical Therapist
  • Jackson, TN
  • NPI 1891285185
  Medicare reassignment Care Compare group NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Germantown, TN
  • NPI 1174308647
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Clinton, TN
  • NPI 1376073262
  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Cordova, TN
  • NPI 1215712781
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD
• Carl W. Huff, MD, PC

  dba Bone and Joint Clinic of Dyersburg/Covington

  • Orthopaedic Surgery Physician
  • Dyersburg, TN
  • NPI 1962413674
  NPD (past)
• Jackson Clinic PA

  dba Jackson Clinc PA DME

  • Durable Medical Equipment & Medical Supplies
  • Jackson, TN
  • NPI 1689443038

  Physical Therapist

  NPD (past)
• Physical Therapy of Jackson PC.

  • Physical Therapy Clinic/Center
  • Jackson, TN
  • NPI 1841247418
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1649248097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383020400",
            "telephone_number": "731-423-8697",
            "fax_number": "731-422-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W FOREST AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013902",
            "telephone_number": "731-422-0330",
            "fax_number": "731-422-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATUIN",
        "first_name": "MARIA",
        "middle_name": "ROSSANA S.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT4194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3652656",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford Damus, MD
• Janie Daniel, FNP
• Indya Daniels
• Rafi Daou
• Shelby Elaine Darnell, CRNA
• Timothy C Davenport, M.D.
• David Pickering
• Jane O David, PT
• Christopher Aaron Davidson, DO
• Melanie Carol Davidson, SP

• Physical Therapist in Jackson, TN
• Providers in Jackson, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.