Active NPI
Amity Jarboe, PT
- Physical Therapist
- Clarksville, TN
National Provider Identifier
1578078069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 467955
- Practice address
- 235 Med Park Dr
Clarksville, TN 37043-6310 - Phone
- (931) 538-3755
- Fax
- (931) 538-3756
- NPI assigned
- Dec 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 467955 | TN | Primary |
Addresses
Primary practice location
235 Med Park Dr
Clarksville, TN 37043-6310
Mailing address
235 Med Park Dr
Clarksville, TN 37043-6310
Phone (931) 538-3755
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 |
|---|---|---|---|
| 467955 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pitts Therapies, LLC | Physical Therapist | Current | Accepting new patients |
Locations
235 Med Park Dr
Clarksville, TN 37043
Phone (931) 538-3755
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1578078069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 MED PARK DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370436310",
"telephone_number": "931-538-3755",
"fax_number": "931-538-3756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 MED PARK DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370436310",
"telephone_number": "931-538-3755",
"fax_number": "931-538-3756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARBOE",
"first_name": "AMITY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-06",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "467955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.