Individual provider Active NPI

Joseph Scott Jemson, PTA

  • Physical Therapy Assistant
  • Etna, OH
National Provider Identifier
1144836156
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA008256 Issued in OH
Practice address
14176 National Rd SW
Etna, OH 43068-3363
Phone
(740) 927-6782
Fax
(740) 927-9018
NPI assigned
Sep 16, 2020
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA008256 OH Primary

Addresses

Primary practice location

14176 National Rd SW
Etna, OH 43068-3363

Mailing address

344 Hillgail Rd SW
Pataskala, OH 43062-9280
Phone (614) 596-4852

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

LicenseStateTypeSpecialty
PTA008256OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Park Rehab, Inc. CurrentSince Sep 20, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1144836156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 HILLGAIL RD SW",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430629280",
            "telephone_number": "614-596-4852",
            "fax_number": "740-919-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14176 NATIONAL RD SW",
            "city": "ETNA",
            "state": "OH",
            "postal_code": "430683363",
            "telephone_number": "740-927-6782",
            "fax_number": "740-927-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEMSON",
        "first_name": "JOSEPH",
        "middle_name": "SCOTT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA008256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Etna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.