Individual provider Active NPI

Cara N Hataway, DPT

  • Physical Therapist
  • Nashville, TN
National Provider Identifier
1902107105
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8764 Issued in TN
Practice address
4124 Nolensville Pike
Nashville, TN 37211-4717
Phone
(615) 831-1710
Fax
(615) 831-1968
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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 8764 TN Primary

Addresses

Primary practice location

4124 Nolensville Pike
Nashville, TN 37211-4717

Mailing address

PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590

Other identifiers 2

IdentifierTypeStateIssuer
4283461OtherTNBCBS OF TN
0446631MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110201000743 TN Practitioner - Physical Therapist in Private Practice 4385823772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedics and Sports Medicine PLCGroup PAC ID 9032023320, 39 clinicians

Practice addresses (Care Compare)

300 Stonecrest Blvd
Suite 200
Smyrna, TN 37167-6800
Phone (615) 355-0533

3443 Dickerson Pike
Suite 190
Nashville, TN 37207-2533
Phone (615) 860-1580

394 Harding PL
Nashville, TN 37211-3980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8764TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine, PLC CurrentSince Nov 4, 2010 Accepting new patients
Premier Orthopaedics & Sports Medicine PLC Physical Therapist CurrentSince Nov 4, 2010 Accepting new patients
Star Physical Therapy LP Past Accepting new patients
Star Physical Therapy LP Physical Therapist Past Accepting new patients

Locations

111 Highway 70 E
Ste 103
Dickson, TN 37055
Phone (615) 326-2295

353 New Shackle Island Rd
Ste 141C
Hendersonvlle, TN 37075
Phone (615) 826-3100

5651 Frist Blvd
Ste 500
Hermitage, TN 37076
Phone (615) 874-8006

5651 Frist Blvd
Ste 515
Hermitage, TN 37076
Phone (615) 889-3501

5651 Frist Blvd
Ste 711
Hermitage, TN 37076
Phone (615) 342-6010

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

394 Harding Pl
Ste 101
Nashville, TN 37211
Phone (492) 381-8186

3443 Dickerson Pike
Ste 190
Nashville, TN 37207
Phone (615) 301-8269

300 Stonecrest Blvd
Ste 200
Smyrna, TN 37167
Phone (615) 220-4747

Interoperability endpoints

  • Direct secure messaging: cara.hataway.1@321.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1902107105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 NOLENSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114717",
            "telephone_number": "615-831-1710",
            "fax_number": "615-831-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATAWAY",
        "first_name": "CARA",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4283461",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.