Joy Ann Jansen Whitaker, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3765 Issued in TN

Practice address

629 Gallaher Rd
Kingston, TN 37763-4215

Phone

(865) 376-3416

Fax

(865) 376-3532

NPI assigned

Jan 23, 2020

Last updated

Jan 23, 2020By the provider in NPPES

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

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Dunn Center

  • Physical Therapy Assistant
  • Kingston, TN
  • NPI 1811325624
  NPD (past)

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1881224368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 GALLAHER RD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377634215",
            "telephone_number": "865-376-3416",
            "fax_number": "865-376-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 GALLAHER RD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377634215",
            "telephone_number": "865-376-3416",
            "fax_number": "865-376-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN WHITAKER",
        "first_name": "JOY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "3765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316076268",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700316213",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Independent Physical Therapy LLC
• Farzana Sharmin Iqbal, M.D.
• Elizabeth Jennings Ivey, LPC,MHSP
• Jamestowne Assisted Living (Jamestowne, An Assisted Living Community)
• Jane K Bryant
• Elizabeth Jenkins, MS,CCC
• Rushabh R Joshi
• Anna Jugan, PT
• K VA T Food Stores Inc (Food City Pharmacy)
• KDP PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.