Individual provider Active NPI

Jared Hutchens, PT, DPT, ATC, LAT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1720451768
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1268423 Issued in TX
Practice address
4700 Seton Center Pkwy
Suite 175
Austin, TX 78759-5295
Phone
(512) 439-1940
NPI assigned
Nov 12, 2015
Last updated
Nov 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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 1268423 TX Primary

Addresses

Primary practice location

4700 Seton Center Pkwy
Suite 175
Austin, TX 78759-5295

Mailing address

4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160112000674 TX Practitioner - Physical Therapist in Private Practice 9133421845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1268423TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children's Medical Group CurrentSince Oct 31, 2022 Accepting new patients
Dell Children's Medical Group CurrentSince Oct 31, 2022 Accepting new patients
Dell Children's Medical Group Current Accepting new patients

Locations

9010 N Lake Creek Pkwy
#2
Austin, TX 78717
Phone (512) 324-7378

1401 Medical Pkwy
Ste 120
Cedar Park, TX 78613
Phone (512) 260-3636

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Interoperability endpoints

  • Direct secure messaging: jared.hutchens.1@8363.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1720451768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY",
            "address_2": "SUITE 175",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595295",
            "telephone_number": "512-439-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHENS",
        "first_name": "JARED",
        "credential": "PT, DPT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-12",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1268423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.