Jarod Vermeesch, PT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60647 Issued in OR

Practice address

344 Henslee Dr
Suite 8
Dickson, TN 37055-2051

Phone

(615) 446-7623

NPI assigned

Sep 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1831384734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29757 SW BOONES FERRY RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 HENSLEE DR",
            "address_2": "SUITE 8",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552051",
            "telephone_number": "615-446-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMEESCH",
        "first_name": "JAROD",
        "name_prefix": "Dr.",
        "credential": "PT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7937",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3727276",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upchurch Chiropractic
• Chad Michael Upchurch, D.C.
• Urology Associates PC
• Joshua A. Vaughn, PT, DPT
• Valerie Jean Venus, PTA
• David Andrew Vincent, PA-C
• Chandni K Vyas
• Matthew Luke Wade, MFT
• Hazel Joyce Wadkins, CSFA
• KD Wainwright, PA

• Physical Therapist in Dickson, TN
• Providers in Dickson, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.