Herbert Maynard Hess, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002799 Issued in GA

Practice address

620 JL White Drive
Suite 110
Jasper, GA 30143

Phone

(706) 692-9080

Fax

(706) 692-1199

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• High Performance Physical Therapy Centers

  • Physical Therapist
  • Suwanee, GA
  • NPI 1467645689
  NPD (past)
• Jasper Physical Therapy, LLC

  • Physical Therapist
  • Jasper, GA
  • NPI 1932118866
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1740285873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JL WHITE DRIVE",
            "address_2": "SUITE 110",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "30143",
            "telephone_number": "706-692-9080",
            "fax_number": "706-692-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JL WHITE DRIVE",
            "address_2": "SUITE 110",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "30143",
            "telephone_number": "706-692-9080",
            "fax_number": "706-692-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "HERBERT",
        "middle_name": "MAYNARD",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "8536",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "002799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00869085C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Harren, D.M.D.
• Stacy Ann Harris
• Christine Head, LSWAIC
• David Head
• Aleena Herrick, NP-C
• Highland Recovery Center
• Highland Rivers Community Service Board
• Highland Rivers Community Service Board
• Highland Rivers CSB
• Bret J Hintze, DPM

• Physical Therapist in Jasper, GA
• Providers in Jasper, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.