Individual provider Active NPI

Marcia Jefferson, PT

  • Specialist
  • Nashville, TN
National Provider Identifier
1942542238
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2251X0800X Issued in TN
Practice address
3810 Bedford Ave
Suite 120
Nashville, TN 37215-2514
Phone
(615) 292-1253
Fax
(615) 292-8148
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2251X0800X TN Primary

Addresses

Primary practice location

3810 Bedford Ave
Suite 120
Nashville, TN 37215-2514

Mailing address

3810 Bedford Ave
Suite 120
Nashville, TN 37215-2514
Phone (615) 292-1253

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
2251X0800XTNMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1942542238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 BEDFORD AVE",
            "address_2": "SUITE 120",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152514",
            "telephone_number": "615-292-1253",
            "fax_number": "615-292-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 BEDFORD AVE",
            "address_2": "SUITE 120",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152514",
            "telephone_number": "615-292-1253",
            "fax_number": "615-292-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "MARCIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "2251X0800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.