Active NPI
Jake Phillips, OTR/L
- Rehabilitation Hospital
- Nashville, TN
National Provider Identifier
1790165314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- 5183
- Practice address
- 2021 Church St
Suite 200
Nashville, TN 37203-2021 - Phone
- (615) 324-1619
- Fax
- (615) 324-1618
- NPI assigned
- Jun 9, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | 5183 | TN | Primary |
Addresses
Primary practice location
2021 Church St
Suite 200
Nashville, TN 37203-2021
Mailing address
2021 Church St
Suite 200
Nashville, TN 37203-2021
Phone (615) 324-1619
Other names 1
- Jacob Phillips
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1790165314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 CHURCH ST",
"address_2": "SUITE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032021",
"telephone_number": "615-324-1619",
"fax_number": "615-324-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 CHURCH ST",
"address_2": "SUITE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032021",
"telephone_number": "615-324-1619",
"fax_number": "615-324-1618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JAKE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-09",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "TN",
"license": "5183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACOB",
"last_name": "PHILLIPS",
"credential": "OTR/L",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.