Kade Melvin Jones, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2023 Issued in MN

Practice address

3401 E Medicine Lake Blvd
Plymouth, MN 55441-2307

Phone

(763) 208-5676

NPI assigned

Apr 3, 2016

Last updated

Apr 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459641600000",
    "number": "1144683400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MINNETONKA BLVD",
            "address_2": "APT 222",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554165711",
            "telephone_number": "641-430-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E MEDICINE LAKE BLVD",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412307",
            "telephone_number": "763-208-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KADE",
        "middle_name": "MELVIN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-03",
        "last_updated": "2016-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A2023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Timothy Johnson, D.C.
• Steven Michael Johnson, DPT
• Timothy Johnson, R.PH.
• Tyler Michael Johnston, CRNA
• Dawn Kelleigh Jones, PHARMD
• Karley Jorgensen
• Joseph's Chateau LLC
• Joy Living Inc
• Marija Jozic
• Yazdaan Juma, M.D.

• Physical Therapy Assistant in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2016; 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.