Active NPI
Jaylen Trenell Hill
- Physical Therapist
- Millington, TN
National Provider Identifier
1972211555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14487
- Practice address
- 8586 US Highway 51 N
Millington, TN 38053-1534 - Phone
- (901) 430-8100
- NPI assigned
- Nov 11, 2022
- Last updated
- Nov 11, 2022
- 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 | 14487 | TN | Primary |
Addresses
Primary practice location
8586 US Highway 51 N
Millington, TN 38053-1534
Mailing address
443 W Hannah Marie Dr
Munford, TN 38058-1635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14487 | Other | TN | TENNESSEE PHYSICAL THERAPY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | millington@dynamix.life |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamix Physical Therapy LLC | Current | Accepting new patients | |
| Kerry D. Friesen, M.D. PC | Past | Accepting new patients |
Locations
5 N Lafayette Ave
Brownsville, TN 38012
Phone (731) 613-2214
973 Highway 51 N
Ste 16
Covington, TN 38019
Phone (901) 617-0100
8586 US Highway 51 N
Millington, TN 38053
Phone (901) 430-8100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Milan, TN
- NPI 1669619268
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1316052624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1972211555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 W HANNAH MARIE DR",
"city": "MUNFORD",
"state": "TN",
"postal_code": "380581635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8586 US HIGHWAY 51 N",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380531534",
"telephone_number": "901-430-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "JAYLEN",
"middle_name": "TRENELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-11",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "14487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE PHYSICAL THERAPY LICENSE",
"identifier": "14487",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "millington@dynamix.life",
"affiliation": "N",
"address_1": "8586 US Highway 51 N",
"city": "Millington",
"state": "TN",
"country_code": "US",
"postal_code": "380531534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Millington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.