Andrea Joy Hutson, MSPT

Individual provider Active NPI Physical Therapist · Barbourville, KY

NPI 1821144965 · NPPES record last updated Nov 18, 2020

Key facts

NPI
1821144965
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
004429 (KY)
Practice address
105 S. Liberty Street
Barbourville, KY 40906-1437
Phone
(606) 546-4112
Fax
(606) 546-8456
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Health System, Inc. Past
since Sep 11, 2017
Accepting new patients
PT Solutions Holdings, LLC Physical Therapist Past Accepting new patients
Hopper Physical Therapy, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11443 NC
Physical Therapist 225100000X 004429 KY Yes

Addresses

Primary practice location

105 S. Liberty Street
Barbourville, KY 40906-1437

Mailing address

383 Corbin Center Drive
Corbin, KY 40701-1895
Phone (606) 526-2909

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 18, 2020.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1821144965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 CORBIN CENTER DRIVE",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011895",
            "telephone_number": "606-526-2909",
            "fax_number": "606-526-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S. LIBERTY STREET",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061437",
            "telephone_number": "606-546-4112",
            "fax_number": "606-546-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTSON",
        "first_name": "ANDREA",
        "middle_name": "JOY",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11443",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barbourville, KY

All providers in Barbourville, KY · Physical Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.