Individual provider Active NPI

Jessica Torres

  • Physical Therapy Assistant
  • Humboldt, TN
National Provider Identifier
1275009920
Registry record updated Oct 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3482 Issued in TN
Practice address
2865 E Main St
Humboldt, TN 38343-3070
Phone
(731) 784-8405
NPI assigned
Oct 21, 2018
Last updated
Oct 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2018

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 3482 TN Primary

Addresses

Primary practice location

2865 E Main St
Humboldt, TN 38343-3070

Mailing address

1917 Osborne St
Humboldt, TN 38343-3058
Phone (731) 618-2518

Other practice location 1

8017 Dogwood Ln
Milan, TN 38358-6805
Phone (731) 686-8373

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
3482TNMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1540080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540080000000",
    "number": "1275009920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 OSBORNE ST",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433058",
            "telephone_number": "731-618-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 E MAIN ST",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433070",
            "telephone_number": "731-784-8405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8017 Dogwood Ln",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "TN",
            "postal_code": "383586805",
            "country_code": "US",
            "telephone_number": "731-686-8373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-21",
        "last_updated": "2018-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "3482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2018; 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.