Mary Jo Lawrence, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3564 Issued in TN

Practice address

2806 Henry Gower Rd
Pleasant View, TN 37146-9068

Phone

(615) 218-9058

NPI assigned

Sep 22, 2023

Last updated

Sep 22, 2023By 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

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1508645128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 JAMES STONE RD",
            "city": "CEDAR HILL",
            "state": "TN",
            "postal_code": "370325160",
            "telephone_number": "615-218-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 HENRY GOWER RD",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371469068",
            "telephone_number": "615-218-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "3564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph D. Weatherford, PLC
• Mattie Joseph, NP
• Amanda Paola Jove Vives, LPC
• Kids First Pediatrics, PC
• Rebecca Anne Knight, NP
• Leap Industries LLC (Hometown Pharmacy of Pleasant View)
• Paula Rana Lee, APRN-BC
• Gerald Manown
• Nicole A Mayo, MA
• Brenna Paige Metcalf

• Physical Therapy Assistant in Pleasant View, TN
• Providers in Pleasant View, 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 Sep 22, 2023; 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.