Active NPI
Jessica Story
- Physical Therapist
- Johnson City, TN
National Provider Identifier
1083193247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10705
- Practice address
- 3209 Bristol Hwy
Johnson City, TN 37601-1515 - Phone
- (423) 282-3311
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10705 | TN | Primary |
Addresses
Primary practice location
3209 Bristol Hwy
Johnson City, TN 37601-1515
Mailing address
309 Quail Dr
Johnson City, TN 37601-2031
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10705 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1083193247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 QUAIL DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 BRISTOL HWY",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011515",
"telephone_number": "423-282-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORY",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "10705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.