Active NPI
Jorgi Amelia Sims, PTA
- Physical Therapy Assistant
- Talladega, AL
National Provider Identifier
1982257804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 9432
- Practice address
- 230 East St N
Talladega, AL 35160-2060 - Phone
- (256) 268-8594
- Fax
- (256) 268-8598
- NPI assigned
- Jul 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 9432 | AL | Primary |
Addresses
Primary practice location
230 East St N
Talladega, AL 35160-2060
Mailing address
199 N Brookmoore Dr
Columbus, MS 39705-2024
Phone (662) 327-6705
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9432 | AL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1982257804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 N BROOKMOORE DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052024",
"telephone_number": "662-327-6705",
"fax_number": "662-327-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 EAST ST N",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602060",
"telephone_number": "256-268-8594",
"fax_number": "256-268-8598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "JORGI",
"middle_name": "AMELIA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "9432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Talladega, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.