Phyllis A Wardlow, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0849 Issued in TN

Practice address

121 Physicians Dr
Jackson, TN 38305-6011

Phone

(731) 664-5050

NPI assigned

Oct 26, 2006

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962587162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 HENDERSON RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055913",
            "telephone_number": "731-424-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056011",
            "telephone_number": "731-664-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDLOW",
        "first_name": "PHYLLIS",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "0849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dong Wang, M.D.
• Austin Ward, M.S.
• Sara E Ward, FNP-C
• Bethany Ann Wardlow, MD
• Jeffrey G Wardlow, CASE MANAGER
• Chenise Ware, CASE MANAGER
• James G Warmbrod, MD
• Karl H Warren, D.D.S.
• Kenneth R. Warren, M.D.
• Mitzi Warren

• Physical Therapy Assistant in Jackson, TN
• Providers in Jackson, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.