Active NPI
Jenifer M. Lassetter, PT
- Physical Therapist
- Clinton, MS
National Provider Identifier
1396849956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1171
- Practice address
- 4315 Williamson Rd
Clinton, MS 39056-9725 - Phone
- (601) 924-4986
- Fax
- (601) 924-1888
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1171 | MS | Primary |
Addresses
Primary practice location
4315 Williamson Rd
Clinton, MS 39056-9725
Mailing address
4315 Williamson Rd
Clinton, MS 39056-9725
Phone (601) 924-4989
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT1171 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1396849956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4315 WILLIAMSON RD",
"city": "CLINTON",
"state": "MS",
"postal_code": "390569725",
"telephone_number": "601-924-4989",
"fax_number": "601-924-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 WILLIAMSON RD",
"city": "CLINTON",
"state": "MS",
"postal_code": "390569725",
"telephone_number": "601-924-4986",
"fax_number": "601-924-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSETTER",
"first_name": "JENIFER",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT1171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.