Individual provider Active NPI

Amy Nichole Lofton, PT

  • Physical Therapist
  • Henderson, TN
National Provider Identifier
1225112683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5519 Issued in TN
Practice address
412 Juanita Dr
Henderson, TN 38340-1949
Phone
(731) 989-7598
Fax
(731) 989-7994
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5519 TN Primary

Addresses

Primary practice location

412 Juanita Dr
Henderson, TN 38340-1949

Mailing address

1985 Sanford Rd
Henderson, TN 38340-1241
Phone (731) 989-3365

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225112683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 SANFORD RD",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383401241",
            "telephone_number": "731-989-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 JUANITA DR",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383401949",
            "telephone_number": "731-989-7598",
            "fax_number": "731-989-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTON",
        "first_name": "AMY",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.