Individual provider Active NPI

Timothy Daniel Dotson, DPT

  • Physical Therapist
  • Hixson, TN
National Provider Identifier
1891733143
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0446652MedicaidTN
3156797OtherTNBCBST-GROUP NUMBER
3156797OtherTNMEDICARE GROUP UPIN
4227759OtherTNBCBS TN INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080509000607 TN Practitioner - Physical Therapist in Private Practice 7012096498 Reassigns benefits to 1 organization

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
Summit Physical Therapy, LLCGroup PAC ID 5799840211, 24 clinicians

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

LicenseStateTypeSpecialty
6831TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.