NPIMap

Organization Active NPI

Jamco of Ky. Inc.

Doing business as Jackson Physical Therapy

  • Physical Therapist
  • Jackson, KY
National Provider Identifier
1265658314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2538 Issued in KY
Legal business name
JAMCO OF KY. INC.
Doing business as
Jackson Physical Therapy
Practice address
695 Ky. Hwy. 15 North
Suite 3
Jackson, KY 41339
Phone
(606) 666-9293
Fax
(606) 666-9220
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Vanessa Bush
Title
Office Manager
Phone
(606) 666-9293

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2538 KY Primary
Physical Therapist 225100000X 4578 KY

Addresses

Primary practice location

695 Ky. Hwy. 15 North
Suite 3
Jackson, KY 41339

Mailing address

PO Box 803
Jackson, KY 41339-0803
Phone (606) 666-9293

Other identifiers 2

IdentifierTypeStateIssuer
1235291584OtherKYNPI
1619039989OtherKYNPI

Other names 1

  • JACKSON PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

695 Highway 15 N
Ste 3
Jackson, KY 41339
Phone (606) 666-9243

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265658314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413390803",
            "telephone_number": "606-666-9293",
            "fax_number": "606-666-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 KY. HWY. 15 NORTH",
            "address_2": "SUITE 3",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "41339",
            "telephone_number": "606-666-9293",
            "fax_number": "606-666-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMCO OF KY. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "606-666-9293",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "2538",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "4578",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235291584",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619039989",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACKSON PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.