JAMES CALEB HIGGINSON DPT
NPI 1982259529
Physical Therapist in Knoxville, TN

Active since August 08, 2019Accepts Medicare Assignment
150 N MARTINWOOD RD STE D402, KNOXVILLE, TN 37923(865) 691-5020 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2020, Aug 8, 2019 (2 updates tracked since 2019).

About James Caleb Higginson Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES CALEB HIGGINSON DPT (NPI 1982259529) is an individual physical therapist in Knoxville, Tennessee, licensed in West Virginia (PT004178) and active in the NPI registry since August 2019. He is a graduate of West Virginia University School Of Medicine (2019).

NPPES Registry Identity

NPI1982259529
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJAMES CALEB HIGGINSONCredential: DPT
Location Address150 N MARTINWOOD RD STE D402Knoxville, TN 37923-5124
Mailing Address150 N Martinwood Rd, Ste D402Knoxville, TN 37923-5124 · (865) 691-5020
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 2019
Enumeration DateAugust 8, 2019
Last NPPES UpdateMay 28, 20202 updates tracked since enumeration
NPPES CertifiedMay 28, 2020
NPI 1982259529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in WV · PT004178
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
150 N MARTINWOOD RD STE D402, Knoxville, TN 37923

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

James Caleb Higginson Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951722610
PECOS Enrollment IDI20211223000162

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
130 services19 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
117 services18 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
95 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
150 N MARTINWOOD RD STE D402
KNOXVILLE, TN 37923

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Higginson's NPI number?

The NPI number for James Higginson is 1982259529. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Where is James Higginson located?

James Higginson practices at 150 N Martinwood Rd Ste D402, Knoxville, TN 37923. The listed phone number is (865) 691-5020.

What is James Higginson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is James Higginson enrolled in Medicare?

Yes. James Higginson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Higginson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list James Higginson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Higginson was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.