Sherry Dawn Jones, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

208 Zachery Street
Mt. Vernon, IL 62814

Phone

(618) 204-5497

Fax

(618) 204-5487

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Physician Assistant

Education

Southern Illinois University School of Medicine, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679777593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 ZACHERY ST",
            "city": "MT. VERNON",
            "state": "IL",
            "postal_code": "62814",
            "telephone_number": "618-204-5497",
            "fax_number": "618-204-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ZACHERY STREET",
            "city": "MT. VERNON",
            "state": "IL",
            "postal_code": "62814",
            "telephone_number": "618-204-5497",
            "fax_number": "618-204-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHERRY",
        "middle_name": "DAWN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane C Johnson, LCSW
• Mallory Johnston, MHP
• Megan Arlicia Kaye Jones, L.P.N
• Serena Gail Jones
• Shari Renee Jones, RN BSN
• Carolynne Jorgenson
• Tammi Lynn Kash, N/A
• Kaushal Pediatric Services LTD
• Neeta B Kaushal, MD
• James Edward Keeler, PA-C

• Physical Therapist in Mt. Vernon, IL
• Providers in Mt. Vernon, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.