Active NPI
Jill Howard
- Physical Therapist
- Madison, TN
National Provider Identifier
1609002021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4317
- Practice address
- 1210 Briarville Rd
BLDG D
Madison, TN 37115-5141 - Phone
- (615) 612-7602
- NPI assigned
- Jun 1, 2009
- Last updated
- Jun 1, 2009
- 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 | PT4317 | TN | Primary |
Addresses
Primary practice location
1210 Briarville Rd
BLDG D
Madison, TN 37115-5141
Mailing address
10476 Spanntown Rd
Arrington, TN 37014-4903
Phone (615) 948-8681
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4317 | TN | MD | Clinical Social Worker |
| PT4317 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1609002021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10476 SPANNTOWN RD",
"city": "ARRINGTON",
"state": "TN",
"postal_code": "370144903",
"telephone_number": "615-948-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 BRIARVILLE RD",
"address_2": "BLDG D",
"city": "MADISON",
"state": "TN",
"postal_code": "371155141",
"telephone_number": "615-612-7602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "JILL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-01",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT4317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.