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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Health System, Inc. | Past |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Lyndsey Howard
- Kendra Hubbard
- Karen L Hubbs
- Rebecca Brooke Hurley
- Stephanie Canada Hutchinson
- Tori Shay Jackson
- Jennifer Nicole James
- Philip Jacob Janutolo
- JL Collins Enterprises Inc.
- Jill M Johnson
All providers in Barbourville, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.