Organization Active NPI

Jenergy for Life, LLC

  • Physical Therapy Clinic/Center
  • Murfreesboro, TN
National Provider Identifier
1073196606
Registry record updated May 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JENERGY FOR LIFE, LLC
Practice address
2301 Red Mile Rd
Murfreesboro, TN 37127-6689
Phone
(423) 258-4678
NPI assigned
May 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2021

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

Authorized official

Name
Jennifer Dickens Massie, DPT
Title
Physical Therapist
Phone
(423) 258-4678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2301 Red Mile Rd
Murfreesboro, TN 37127-6689

Mailing address

2301 Red Mile Rd
Murfreesboro, TN 37127-6689
Phone (423) 258-4678

Other names 1

  • Jenergy For Life Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619913600000",
    "number": "1073196606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 RED MILE RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371276689",
            "telephone_number": "423-258-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 RED MILE RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371276689",
            "telephone_number": "423-258-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENERGY FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "MASSIE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DICKENS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "423-258-4678",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenergy For Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; 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.