Stephen Parker, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0000006610 Issued in TN

Practice address

1212 Hollis Ter
Cottontown, TN 37048-9601

Phone

(615) 818-5830

NPI assigned

Aug 8, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1760761811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HOLLIS TER",
            "city": "COTTONTOWN",
            "state": "TN",
            "postal_code": "370489601",
            "telephone_number": "615-818-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 HOLLIS TER",
            "city": "COTTONTOWN",
            "state": "TN",
            "postal_code": "370489601",
            "telephone_number": "615-818-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "STEPHEN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TN",
            "license": "192",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA0000006610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Cole Hoffman, M.ED.
• Hopkins Health and Wellness
• Marilyn C. McLaughlin, OTR
• Cynthia Jill Morris, OTR
• N2 Sleep
• Shannon Rachelle Smajda, CPM
• Jennifer N Smith, LCSW
• Southern Expressions Therapy Company PLLC
• Neva Joyce Sullins, OTRL
• Amy Beth Thomas, SLP

• Physical Therapy Assistant in Cottontown, TN
• Providers in Cottontown, 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 Dec 6, 2017; 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.