Individual provider Active NPI

Aimee Colleen Lennox, MSPT

  • Physical Therapist
  • Jackson, MI
National Provider Identifier
1629100755
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501011300 Issued in MI
Practice address
100 E Michigan Ave Ste 103
Jackson, MI 49201-1406
Phone
(517) 205-7252
Fax
(517) 205-7253
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008305 GA
Physical Therapist 225100000X PT016891 PA
Physical Therapist 225100000X 5501011300 MI Primary
Physical Therapist 225100000X PT22737 FL
Physical Therapist 225100000X 05008568A IN

Addresses

Primary practice location

100 E Michigan Ave Ste 103
Jackson, MI 49201-1406

Mailing address

205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-7252

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alennox455758@direct.hfhs.org Direct

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

LicenseStateTypeSpecialty
PT22737FLMDPhysical Therapist
PT008305GAMDPhysical Therapist
05008568AINMDPhysical Therapist
5501011300MIMDPhysical Therapist
PT016891PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
W a Foote Memorial Hospital Inc Past Accepting new patients
W.a. Foote Memorial Hospital, Inc Past Accepting new patients

Organizations & group practices 2

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1629100755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-205-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MICHIGAN AVE STE 103",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011406",
            "telephone_number": "517-205-7252",
            "fax_number": "517-205-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNOX",
        "first_name": "AIMEE",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008305",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016891",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011300",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22737",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008568A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alennox455758@direct.hfhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 E Michigan Ave Ste 103",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492011406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.