Active NPI
Jeffrey Neal Nolen
- Physical Therapist
- Alamo, TN
National Provider Identifier
1881100733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3618
- Practice address
- 83 N Nance St
Alamo, TN 38001-1420 - Phone
- (901) 633-3949
- NPI assigned
- Dec 14, 2017
- Last updated
- Dec 14, 2017
- Sex
- Male
- 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 Therapist | 225100000X | 3618 | TN | Primary |
Addresses
Primary practice location
83 N Nance St
Alamo, TN 38001-1420
Mailing address
83 N Nance St
Alamo, TN 38001-1420
Phone (901) 633-3949
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 |
|---|---|---|---|
| 3618 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513209600000",
"number": "1881100733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 N NANCE ST",
"city": "ALAMO",
"state": "TN",
"postal_code": "380011420",
"telephone_number": "901-633-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 N NANCE ST",
"city": "ALAMO",
"state": "TN",
"postal_code": "380011420",
"telephone_number": "901-633-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLEN",
"first_name": "JEFFREY",
"middle_name": "NEAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-14",
"last_updated": "2017-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "3618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamo, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.