Individual provider Active NPI

Joshua Lampert, PTA

  • Physical Therapy Assistant
  • Crossville, TN
National Provider Identifier
1013528546
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
7444 Issued in TN
Practice address
35 Taylor Ave
Crossville, TN 38555-4526
Phone
(931) 526-9518
Fax
(931) 372-7717
NPI assigned
Aug 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 7444 TN Primary

Addresses

Primary practice location

35 Taylor Ave
Crossville, TN 38555-4526

Mailing address

105 S Willow Ave
Cookeville, TN 38501-4667
Phone (931) 526-9518

Other practice location 1

317 W Spring St
Cookeville, TN 38501-7102
Phone (931) 526-9518

Other practice location 2

105 S Willow Ave
Cookeville, TN 38501-4667
Phone (931) 526-9518

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdrew@t1ortho.gwaydirect.com

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

State licenses

LicenseStateTypeSpecialty
7444TNMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1013528546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014667",
            "telephone_number": "931-526-9518",
            "fax_number": "931-372-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TAYLOR AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554526",
            "telephone_number": "931-526-9518",
            "fax_number": "931-372-7717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 W Spring St",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385017102",
            "country_code": "US",
            "telephone_number": "931-526-9518",
            "fax_number": "931-372-7717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 S Willow Ave",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385014667",
            "country_code": "US",
            "telephone_number": "931-526-9518",
            "fax_number": "931-372-7717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMPERT",
        "first_name": "JOSHUA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "7444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdrew@t1ortho.gwaydirect.com",
            "affiliation": "N",
            "address_1": "105 S Willow Ave",
            "city": "Cookeville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "385014667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.