Individual provider Active NPI

Jemina S Leveque

  • Physical Therapy Assistant
  • Smyrna, TN
National Provider Identifier
1861164329
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
7328 Issued in TN
Practice address
1524 Clayton Dr
Smyrna, TN 37167-6471
Phone
(615) 582-3953
NPI assigned
Oct 4, 2021
Last updated
Oct 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7328 TN
Physical Therapy Assistant 225200000X 7328 TN Primary

Addresses

Primary practice location

1524 Clayton Dr
Smyrna, TN 37167-6471

Mailing address

1524 Clayton Dr
Smyrna, TN 37167-6471

Other identifiers 1

IdentifierTypeStateIssuer
7328OtherTNTN DEPT OF HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address just.jemina@outlook.com

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

LicenseStateTypeSpecialty
7328TNMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1861164329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 CLAYTON DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 CLAYTON DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676471",
            "telephone_number": "615-582-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVEQUE",
        "first_name": "JEMINA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7328",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "7328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN DEPT OF HEALTH",
            "identifier": "7328",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "just.jemina@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1524 Clayton Dr",
            "city": "Smyrna",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371676471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.