Active NPI
Janet Sue Vickrey, PTA
- Physical Therapist
- Nashville, TN
National Provider Identifier
1457574485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0000000265
- Practice address
- 3305 W End Ave
Nashville, TN 37203-1035 - Phone
- (615) 386-4900
- NPI assigned
- Apr 10, 2007
- 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 | 0000000265 | TN | Primary |
Addresses
Primary practice location
3305 W End Ave
Nashville, TN 37203-1035
Mailing address
718 Silver Springs Dr
Mt Juliet, TN 37122-5119
Phone (615) 754-2699
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 |
|---|---|---|---|
| 0000000265 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intelligent Therapy Staffing | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Nashville, TN
- NPI 1578684940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457574485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 SILVER SPRINGS DR",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371225119",
"telephone_number": "615-754-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 W END AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031035",
"telephone_number": "615-386-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKREY",
"first_name": "JANET",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "0000000265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- 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.