Jennifer Rawson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

505 N Roan St
Johnson City, TN 37601-4740

Phone

(423) 975-2000

NPI assigned

Jul 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1841963253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 CARSON WAY",
            "city": "PINEY FLATS",
            "state": "TN",
            "postal_code": "376864166",
            "telephone_number": "423-534-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014740",
            "telephone_number": "423-975-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWSON",
        "first_name": "JENNIFER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Agape",
            "affiliation": "N",
            "address_1": "505 N Roan St",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376014740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Rapier
• Justin John Rasavage, DPT
• Kemper Scott Rasnake, M.S.W
• Donald Ray Ratliff, DDS
• Matthew Rauhuff
• Ray W. Mettetal Jr., M.D. Inc.
• Alvin Chad Ray, LMFT
• Ethan Matthew Ray
• Janika Ziarah Raynes, MD
• Desiree Raynor, NP-C

• Physical Therapy Assistant in Johnson City, TN
• Providers in Johnson City, 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 Jul 30, 2021; 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.