Lynna Jardeleza, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4430 Issued in TN

Practice address

2569 Baxter CV
Memphis, TN 38133-8129

Phone

(901) 745-7198

NPI assigned

Dec 14, 2010

Last updated

Dec 14, 2010By the provider in NPPES

Sex

Female

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

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of TennesseeGroup PAC ID 5698687077, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• State of Tennessee

  dba Tennessee Department of Intellectual and Developmental Disabilities

  • Occupational Therapist
  • Nashville, TN
  • NPI 1417337056

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• State of Tennessee

  dba Robertson County Health Department

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1164725032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2569 BAXTER CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381338129",
            "telephone_number": "901-745-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 BAXTER CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381338129",
            "telephone_number": "901-745-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDELEZA",
        "first_name": "LYNNA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "4430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muneeb Ullah Jan, MBBS
• Timothy Jancelewicz, MD
• Seema Helen Janga
• Kregg Ryan Janke, PHARM.D.
• Aleksandar Jankov, MD
• Adrienne Jarrett
• Karen Patrice Jarvis, AU.D.
• William Steven Jasper, DDS
• James H Jaster, MD
• Bhavana Jasti, MD

• Physical Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.