Active NPI
Katherine Hamblin, PT, DPT
- Physical Therapist
- Dacula, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013426
- 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
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 | 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, TN
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Erlanger Health | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Georgia Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Erlanger Health | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Tender Ones Therapy Services, Inc. | Physical Therapist | Past | 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.
-
- Family Medicine Physician
- Ringgold, GA
- NPI 1477692549
GA
-
- Physical Therapist
- Atlanta, GA
- NPI 1245826999
GA, Physical Therapist
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
TN
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
-
- Rural Health Clinic/Center
- Pikeville, TN
- NPI 1003518929
-
- Durable Medical Equipment & Medical Supplies
- Cleveland, TN
- NPI 1053104737
-
- Medicare Defined Swing Bed Hospital Unit
- Pikeville, TN
- NPI 1073216370
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1215720990
-
- Critical Access Hospital
- Pikeville, TN
- NPI 1336841568
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.