NPIMap

Organization Active NPI

Advanced Rehab and Medical PC

  • Specialist
  • Jackson, TN
National Provider Identifier
1083846703
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ADVANCED REHAB AND MEDICAL PC
Practice address
2012 Greystone SQ
Jackson, TN 38305-3575
Phone
(731) 664-6998
Fax
(731) 664-7161
NPI assigned
Aug 13, 2009
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Sherri U Bone
Title
Business Manager
Phone
(731) 664-6998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2012 Greystone SQ
Jackson, TN 38305-3575

Mailing address

2012 Greystone SQ
Jackson, TN 38305-3575
Phone (731) 664-6998

National Provider Directory

National Provider Directory

Locations

149 N Star Dr
Jackson, TN 38305
Phone (731) 499-8634

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1083846703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053575",
            "telephone_number": "731-664-6998",
            "fax_number": "731-664-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053575",
            "telephone_number": "731-664-6998",
            "fax_number": "731-664-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHAB AND MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "BONE",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "731-664-6998"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.