Elizabeth Sparkman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5528 Issued in TN

Practice address

118 Devonshire SQ Ste 7
Jackson, TN 38305-2267

Phone

(731) 661-5902

NPI assigned

Feb 9, 2015

Last updated

Feb 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1093106353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 CARDWELL RD",
            "city": "MIDDLETON",
            "state": "TN",
            "postal_code": "380524485",
            "telephone_number": "731-658-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 DEVONSHIRE SQ STE 7",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052267",
            "telephone_number": "731-661-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKMAN",
        "first_name": "ELIZABETH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "5528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Jackson Medical & Wellness Center LLC (South Jackson Medical & Wellness Center)
• Southeastern Hematology Oncology Associates PLLC (Southeastern Psychology Group)
• Southern Hands Quality Care
• Alanson R Spalding III, M.D.
• Monica Marlean Spann, SLP
• Spectrum Pain Clinics Inc.
• Spectrum Pain Clinics, Inc
• Joyce Ann Speight, OTR
• Lois Lafaye Spence, RNCNP
• Timothy G Spence

• Physical Therapy Assistant in Jackson, TN
• Providers in Jackson, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.