James Clyde Oaks, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4968 Issued in TN

Practice address

2421 North John B Dennis
Kingsport, TN 37665

Phone

(423) 288-4988

NPI assigned

Feb 5, 2019

Sex

Male

Sole proprietor

Yes

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1972068765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 NOBLE ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376651724",
            "telephone_number": "423-579-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 NORTH JOHN B DENNIS",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37665",
            "telephone_number": "423-288-4988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2421 North John B Dennis",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "37665",
            "country_code": "US",
            "telephone_number": "423-288-4988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OAKS",
        "first_name": "JAMES",
        "middle_name": "CLYDE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "4968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathleen O'Keeffe, MA, LMFT
• Jenni Marie O'Malley, D.M.D
• Brian Andrew O'Neal, D.O. , MPH
• Glenda K O'Neal, CCC-SLP
• Chastity M O'Quinn, RD
• Wendy Tipton Oberdick, MD
• Lynn Marie Oconnell, FNP-C
• Kim Odle, PHARMD
• Kelechi Ogbonnaya, DPT
• Kelly S Oggero, M.D.

• Physical Therapy Assistant in Kingsport, TN
• Providers in Kingsport, 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 Feb 5, 2019; 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.