Individual provider Active NPI

James Caleb Higginson, DPT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1982259529
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004178 Issued in WV
Practice address
150 N Martinwood Rd Ste D402
Knoxville, TN 37923-5124
Phone
(865) 691-5020
NPI assigned
Aug 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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 PT004178 WV Primary

Addresses

Primary practice location

150 N Martinwood Rd Ste D402
Knoxville, TN 37923-5124

Mailing address

150 N Martinwood Rd
Ste D402
Knoxville, TN 37923-5124
Phone (865) 691-5020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211223000162 WA Practitioner - Physical Therapist in Private Practice 1951722610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
West Virginia University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manual Therapy International Professional Services PLLCGroup PAC ID 7012808041, 44 clinicians

Practice addresses (Care Compare)

506 12TH Ave
Seattle, WA 98122-5509
Phone (206) 430-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT004178WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Therapy International Professional Services PLLC Physical Therapist CurrentSince Oct 4, 2021 Accepting new patients

Locations

1560 140th Ave NE
Ste 100
Bellevue, WA 98005
Phone (425) 746-2475

506 12th Ave
Seattle, WA 98122
Phone (206) 212-1213

464 12th Ave
Ste 202
Seattle, WA 98122
Phone (206) 430-6262

3200 W McGraw St
Seattle, WA 98199
Phone (206) 281-7970

Organizations & group practices 1

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1982259529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N MARTINWOOD RD",
            "address_2": "STE D402",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235124",
            "telephone_number": "865-691-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MARTINWOOD RD STE D402",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235124",
            "telephone_number": "865-691-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINSON",
        "first_name": "JAMES",
        "middle_name": "CALEB",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.