Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joshua Hackenberg, PA-C

Individual provider Physician Assistant · NPI 1316591324

Joshua Hackenberg, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2019, 7 years ago. Practices with Thrive Behavioral Sciences Tampa LLC, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

777 N Ashley Dr Unit 2007
Tampa, FL 33602-4375
Phone: (570) 490-7195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence PA9112319 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 9112319 (FL)

Record details

NPI number1316591324
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 29, 2019
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022
Mailing address777 N Ashley Dr Unit 2007, Tampa, FL 33602-4375

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Thrive Behavioral Sciences Tampa Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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