Active NPI
Jennifer Lindsay Walker, PTA
- Physical Therapy Assistant
- Ooltewah, TN
National Provider Identifier
1821336124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA0000004940
- Practice address
- 6711 Mountain View Rd
Suite 115
Ooltewah, TN 37363-6668 - Phone
- (423) 238-1277
- Fax
- (423) 238-1277
- NPI assigned
- Jan 21, 2013
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA0000004940 | TN | Primary |
Addresses
Primary practice location
6711 Mountain View Rd
Suite 115
Ooltewah, TN 37363-6668
Mailing address
10209 Nissi Way
Soddy Daisy, TN 37379-5457
Phone (423) 316-7689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA0000004940 | Other | TN | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA0000004940 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358726400000",
"number": "1821336124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10209 NISSI WAY",
"city": "SODDY DAISY",
"state": "TN",
"postal_code": "373795457",
"telephone_number": "423-316-7689",
"fax_number": "423-238-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6711 MOUNTAIN VIEW RD",
"address_2": "SUITE 115",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636668",
"telephone_number": "423-238-1277",
"fax_number": "423-238-1277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JENNIFER",
"middle_name": "LINDSAY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-21",
"last_updated": "2013-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "PTA0000004940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PTA0000004940",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ooltewah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.