Individual provider Active NPI

Katherine Hamblin, PT, DPT

  • Physical Therapist
  • Dacula, GA
National Provider Identifier
1972083129
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013426 Issued in GA
Practice address
2089 Teron Trace
Suite 120
Dacula, GA 30019
Phone
(770) 904-6009
NPI assigned
Aug 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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 PT013426 GA Primary

Addresses

Primary practice location

2089 Teron Trace
Suite 120
Dacula, GA 30019

Mailing address

2089 Teron Trce Ste 120
Dacula, GA 30019-1609
Phone (177) 090-4235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, GA, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220427001095 WA Practitioner - Physical Therapist in Private Practice 7810384575 Reassigns benefits to 1 organization
I20230113002427 GA Practitioner - Physical Therapist in Private Practice 7810384575 Reassigns benefits to 3 organizations
I20230418000299 TN Practitioner - Physical Therapist in Private Practice 7810384575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger Health 504 clinicians

Practice addresses (Care Compare)

1809 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-7185
Phone (423) 648-0698

6986 Nashville St
Ringgold, GA 30736-2420
Phone (423) 778-3110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 27, 2023 Accepting new patients
Multicare Health System CurrentSince Mar 21, 2022 Accepting new patients
Erlanger Health Physical Therapist CurrentSince Jul 9, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 27, 2023 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 10, 2023 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Apr 22, 2023 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Multicare Health System CurrentSince Mar 21, 2022 Accepting new patients
Tender Ones Therapy Services, Inc. Physical Therapist PastSince Mar 19, 2018 Accepting new patients

Locations

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

1329 W Walnut Ave
Ste 1
Dalton, GA 30720
Phone (423) 778-9901

6986 Nashville St
Ringgold, GA 30736
Phone (423) 778-3110

60 Erlanger South Dr
Ringgold, GA 30736
Phone (706) 937-9292

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1809 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 648-0698

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

407 E Main St
Auburn, WA 98002
Phone (253) 545-0044

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

9521 Gravelly Lake Dr SW
Lakewood, WA 98499
Phone (253) 983-9395

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1972083129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 TERON TRCE STE 120",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191609",
            "telephone_number": "177-090-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 TERON TRACE",
            "address_2": "SUITE 120",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "30019",
            "telephone_number": "770-904-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLIN",
        "first_name": "KATHERINE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.