Jacqueline Paredes, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2030302 Issued in TX

Practice address

801 W Ann Arbor TRL
Suite 200
Plymouth, MI 48170-1694

Phone

(734) 468-0397

NPI assigned

Jun 30, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1891146825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 ECKHERT RD APT 15201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403192",
            "telephone_number": "432-349-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W ANN ARBOR TRL",
            "address_2": "SUITE 200",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701694",
            "telephone_number": "734-468-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "JACQUELINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2030302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Paquette
• Stefanie Michelle Paquin, LLP, CAADC
• Lauren Nicole Paradiso, DPT, CSCS
• Mya Parchert
• Parclife Foundation
• Ajla Paric
• Melanie Park
• Susan Parkanzky, D.D.S.
• Andrew Parker, CCP
• Ryan Parker

• Physical Therapy Assistant in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.