Active NPI
Jennifer Lawson, PTA
- Physical Therapy Assistant
- Knoxville, TN
National Provider Identifier
1831817527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4708
- Practice address
- 5321 Beverly Park Cir
Knoxville, TN 37918-9253 - Phone
- (865) 687-1321
- NPI assigned
- Aug 18, 2022
- 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 | 4708 | TN | Primary |
Addresses
Primary practice location
5321 Beverly Park Cir
Knoxville, TN 37918-9253
Mailing address
126 E Hendron Chapel Rd
Knoxville, TN 37920-9146
Phone (865) 356-6611
Other names 1
- Jennifer Nicely
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1831817527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 E HENDRON CHAPEL RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379209146",
"telephone_number": "865-356-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5321 BEVERLY PARK CIR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379189253",
"telephone_number": "865-687-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "JENNIFER",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "4708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "NICELY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.