Jessica Adkins
Individual provider Active NPI Physical Therapy Assistant · Clovis, NM
NPI 1275879397 · NPPES record last updated Dec 18, 2012
Key facts
- NPI
- 1275879397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A-0898 (NM)
- Practice address
- 2221 Dillon Rd
Clovis, NM 88101-9454 - Phone
- (575) 762-4495
- NPI assigned
- Dec 18, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-0898 | NM | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A-0898 | NM | Yes |
Addresses
Primary practice location
2221 Dillon Rd
Clovis, NM 88101-9454
Mailing address
1412 S Globe Ave
Portales, NM 88130-6922
Other providers in Clovis, NM
- Pamela Ann Acree
- Maricsa Acuna
- Acupuncture Medical Associates, LLC
- Tanisha Rea Aday
- Nicole Jeanne Addison
- Joshua Adkins
- Lisa K Agan
- Agape Counseling, LLC
- Aia,PC
- Albert M Kwan MD PC
All providers in Clovis, NM · Physical Therapy Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.