Active NPI
Justin Wayne Hiday, PT
- Physical Therapist
- Powell, TN
National Provider Identifier
1881852648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8009
- Practice address
- 7557 Dannaher Way
Powell, TN 37849-3558 - Phone
- (865) 512-1140
- NPI assigned
- May 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT8009 | TN | Primary |
Addresses
Primary practice location
7557 Dannaher Way
Powell, TN 37849-3558
Mailing address
260 Fort Sanders West Blvd
Knoxville, TN 37922-3355
Phone (865) 769-4500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508067 | Medicaid | TN | |
| 4202023 | Other | TN | BLUECROSS BLUESHIELD |
| 3711622 | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 Vanosdale Rd
Knoxville, TN 37909-2497
Phone (888) 531-2204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8009 | TN | MD | General Practice Dentistry |
| PT8009 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthotennessee, PC | Past | Accepting new patients | |
| Hovis Orthopaedic Clinic PC | Past | Accepting new patients | |
| Orthotennessee | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Physical Therapist
- Knoxville, TN
- NPI 1841561446
-
- Orthopaedic Surgery Physician
- Knoxville, TN
- NPI 1053392043
-
- Multi-Specialty Clinic/Center
- Powell, TN
- NPI 1518043751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236643200000",
"number": "1881852648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 FORT SANDERS WEST BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223355",
"telephone_number": "865-769-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7557 DANNAHER WAY",
"city": "POWELL",
"state": "TN",
"postal_code": "378493558",
"telephone_number": "865-512-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDAY",
"first_name": "JUSTIN",
"middle_name": "WAYNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-29",
"last_updated": "2009-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT8009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508067",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "4202023",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "3711622",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Powell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.