Individual provider Active NPI

Michelle Wacker Jones, PTA

  • Physical Therapy Assistant
  • Columbia, TN
National Provider Identifier
1033841432
Registry record updated Jun 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
8089 Issued in TN
Practice address
101 Walnut LN
Columbia, TN 38401-4943
Phone
(931) 381-3112
NPI assigned
Jun 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2022

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 8089 TN Primary

Addresses

Primary practice location

101 Walnut LN
Columbia, TN 38401-4943

Mailing address

1422 Highview Dr Apt H302
Columbia, TN 38401-9402
Phone (262) 573-0313

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Michelle.jones@nhccare.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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8089TNMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: michelle.jones@nhccare.com

NPI Registry JSON

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

{
    "created_epoch": "1656201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656201600000",
    "number": "1033841432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 HIGHVIEW DR APT H302",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384019402",
            "telephone_number": "262-573-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WALNUT LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014943",
            "telephone_number": "931-381-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHELLE",
        "middle_name": "WACKER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-26",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "8089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michelle.jones@nhccare.com",
            "affiliation": "N",
            "address_1": "101 Walnut Ln",
            "city": "Columbia",
            "state": "TN",
            "country_code": "US",
            "postal_code": "384014943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2022; 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.