Active NPI
Ann Jannette R Pepito, PT
- Physical Therapist
- Dyersburg, TN
National Provider Identifier
1992921050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3327
- Practice address
- 1900 Parr Ave.
Dyersburg, TN 38024 - Phone
- (731) 286-1221
- Fax
- (731) 285-3886
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 3327 | TN | Primary |
Addresses
Primary practice location
1900 Parr Ave.
Dyersburg, TN 38024
Mailing address
2311 Fairfield Dr
Dyersburg, TN 38024
Phone (731) 334-1489
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992921050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 FAIRFIELD DR",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "38024",
"telephone_number": "731-334-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 PARR AVE.",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "38024",
"telephone_number": "731-286-1221",
"fax_number": "731-285-3886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPITO",
"first_name": "ANN JANNETTE",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "3327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dyersburg, TN
Sources for this page
- 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.