Individual provider Active NPI

Jacob Hamrick, PT, DPT

  • Physical Therapist
  • Clarksville, TN
National Provider Identifier
1720413602
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9740 Issued in TN
Practice address
131B Hatcher LN
Clarksville, TN 37043-5987
Phone
(615) 373-1350
Fax
(615) 221-9054
NPI assigned
Sep 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9740 TN Primary

Addresses

Primary practice location

131B Hatcher LN
Clarksville, TN 37043-5987

Mailing address

800 Crescent Centre Dr
Suite 600
Franklin, TN 37067-7269
Phone (615) 373-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140203000249 TN Practitioner - Physical Therapist in Private Practice 2264661735 Reassigns benefits to 3 organizations
I20240201003181 KY Practitioner - Physical Therapist in Private Practice 2264661735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

181 Hatcher LN
Clarksville, TN 37043-5987
Phone (731) 335-2117

2950 Turkeyfoot Rd
Edgewood, KY 41017-5400
Phone (859) 331-8333

8458 Gleason Dr
Knoxville, TN 37919-5482
Phone (865) 474-9837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9740TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Therapy, LLC Physical Therapist CurrentSince Sep 24, 2020 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Dec 18, 2023 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients
Proactive Alliance Therapy & Wellness, PLLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

181 Hatcher Ln
Clarksville, TN 37043
Phone (731) 335-2117

181 Hatcher Ln
Ste D
Clarksville, TN 37043

475 Bellamy Ln
Clarksville, TN 37043
Phone (615) 456-8304

8207 Highway 100
Nashville, TN 37221
Phone (276) 546-4566

Organizations & group practices 5

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1720413602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR",
            "address_2": "SUITE 600",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677269",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131B HATCHER LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435987",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-10",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.