Active NPI
Timothy Daniel Dotson, DPT
- Physical Therapist
- Hixson, TN
National Provider Identifier
1891733143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1790 Hamill Rd
Hixson, TN 37343-4905 - Phone
- (423) 771-4600
- Fax
- (423) 771-4601
- NPI assigned
- Jun 2, 2006
- 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 | Primary |
Addresses
Primary practice location
1790 Hamill Rd
Hixson, TN 37343-4905
Mailing address
1790 Hamill Rd
Hixson, TN 37343-4905
Phone (423) 771-4600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446652 | Medicaid | TN | |
| 3156797 | Other | TN | BCBST-GROUP NUMBER |
| 3156797 | Other | TN | MEDICARE GROUP UPIN |
| 4227759 | Other | TN | BCBS TN INDIVIDUAL |
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4109 Mountain View Ave
Suite 200
Chattanooga, TN 37415-2096
Phone (423) 842-9322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6831 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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 Therapy Clinic/Center
- Hixson, TN
- NPI 1376796342
-
- Physical Therapist
- Hixson, TN
- NPI 1225514110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1891733143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 HAMILL RD",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434905",
"telephone_number": "423-771-4600",
"fax_number": "423-771-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 HAMILL RD",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434905",
"telephone_number": "423-771-4600",
"fax_number": "423-771-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSON",
"first_name": "TIMOTHY",
"middle_name": "DANIEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446652",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST-GROUP NUMBER",
"identifier": "3156797",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP UPIN",
"identifier": "3156797",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN INDIVIDUAL",
"identifier": "4227759",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.