Jacqueline Vaulx-Woody, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

745 Issued in TN

Practice address

1151 Tammbell St
Brownsville, TN 38012-1615

Phone

(731) 772-7986

Fax

(731) 772-9395

NPI assigned

Jun 23, 2014

Last updated

Jun 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Home Health Care, LLC

  dba CareAll Home Care Services, Inc.

  • Home Health Agency
  • Brownsville, TN
  • NPI 1194780569
  NPD (past)

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1467867978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 TAMMBELL ST",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380121615",
            "telephone_number": "731-772-7986",
            "fax_number": "731-772-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 TAMMBELL ST",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380121615",
            "telephone_number": "731-772-7986",
            "fax_number": "731-772-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAULX-WOODY",
        "first_name": "JACQUELINE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Tennessee (Haywood County Health Department)
• Jane Ann Sullivan, NP
• Raven S Taylor, MD
• Top Flight Medical Group LLC
• Total Renal Care Inc (Brownsville Dialysis)
• Joaquina Elizabeth Vides de Montoya, MD
• Ray Wakefield
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0064)
• Wal-Mart Stores East, LP (Vision Center 30-0064)
• Walgreen Co. (Walgreens #11464)

• Physical Therapy Assistant in Brownsville, TN
• Providers in Brownsville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.