Jamie Marie Borntrager

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0000004380 Issued in TN

Practice address

670 Skyline Dr
Jackson, TN 38301-3934

Phone

(731) 541-6844

Fax

(731) 541-4436

NPI assigned

Oct 28, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1013217694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 W UNIVERSITY PKWY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053528",
            "telephone_number": "731-394-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013934",
            "telephone_number": "731-541-6844",
            "fax_number": "731-541-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNTRAGER",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "0000004380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Lee Bone, D.C.
• Leah Katherine Booth, BSW
• Vonda J Borden, LPC
• Bryan James Borgfeld, M.D.
• Cynthia C Borgognoni, LCSW
• Kayley Boroughs
• Brenda Kay Boswell, FNP-C
• Naji Bourji, M.D.
• Megan Elizabeth Bowden, RN
• Melanie A Bowen

• Physical Therapist in Jackson, TN
• Providers in Jackson, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.