Joanna Filiatreau Tennill, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AO1375 Issued in KY

Practice address

420 E Grundy Ave
Springfield, KY 40069-1173

Phone

(859) 336-7771

NPI assigned

Jun 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275730400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 CROAKE STATION RD",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400699324",
            "telephone_number": "859-284-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E GRUNDY AVE",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400691173",
            "telephone_number": "859-336-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNILL",
        "first_name": "JOANNA",
        "middle_name": "FILIATREAU",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "AO1375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12500872",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Springfield Medical Assoc PSC
• Springfield Physical Therapy, LLC (Springfield Physical Therapy)
• Dawn C Taylor, MD
• Gail Ballard Taylor, PTA
• Terra S Taylor, OTRL
• The James B. Haggin Memorial Hospital Inc. (Ephraim McDowell Springfield Family Medical Center)
• Krista Kelly Thompson, APRN
• Erica Essex Vance, PT
• Walgreen Co (Walgreens #17432)
• Katie Warner

• Physical Therapy Assistant in Springfield, KY
• Providers in Springfield, KY by specialty
• Physical Therapy Assistant in Kentucky

• 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.