Chamelia J Jefferson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2137410 Issued in TX

Practice address

9382 Whistle Stop PL Apt 1217B
Dallas, TX 75231-1251

Phone

(314) 882-3059

NPI assigned

Jun 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1346504370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9382 WHISTLE STOP PL APT 1217B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752311251",
            "telephone_number": "314-882-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9382 WHISTLE STOP PL APT 1217B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752311251",
            "telephone_number": "314-882-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "CHAMELIA",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2012019887",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2137410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson First Assist PLLC
• Jefferson Orthodontics PLLC
• June Marie Jefferson-Randolph
• Adrienne Frantonio Jefferson, RD, LD
• Aniah Sherelle Jefferson
• Chemetra Jefferson
• Christina Joy Jefferson
• Damecia L Jefferson
• Destiny Jefferson, LPC-ASSOCIATE
• Henry C Jefferson, M.D.

• Physical Therapy Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.