Individual provider Active NPI

Jaylen Trenell Hill

  • Physical Therapist
  • Millington, TN
National Provider Identifier
1972211555
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14487 Issued in TN
Practice address
8586 US Highway 51 N
Millington, TN 38053-1534
Phone
(901) 430-8100
NPI assigned
Nov 11, 2022
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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 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

IdentifierTypeStateIssuer
14487OtherTNTENNESSEE PHYSICAL THERAPY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Dynamix Physical Therapy LLC CurrentSince Nov 14, 2022 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.

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.

Verify at the official NPI Registry.