Jerry Jones in Indianapolis - Physical Therapy Assistant
Jerry Jones - NPI 1104073063
Jerry Jones is a Physical Therapy Assistant in Indianapolis, Indiana. Jerry Jones practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Jerry Jones is 1104073063. The last update date is 2008-08-22.
Jerry Jones's current location address is 4102 Shore Dr, Indianapolis, Indiana. You can contact this provider via phone number 3173479051. The mailing address for Jerry Jones is 4102 Shore Dr, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Jones |
|---|---|
| Address | 4102 Shore Dr, Indianapolis, Indiana |
| Phone Number | 3173479051 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1104073063 |
|---|---|
| Provider Enumeration Date | 2008-08-22 |
| Last Updated Date | 2008-08-22 |
Provider Mailing Address Detail
| Address | 4102 Shore Dr |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462542608 |
| Phone Number | 3173479051 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 06003069A |
|
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Jerry Jones?
The Jerry Jones has been issued the NPI (National Provider Identifier) 1104073063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jerry Jones's facilities are situated?
The facilities of Jerry Jones are physically located at the following address: 4102 Shore Dr, Indianapolis, IN, 462542608.
What is Jerry Jones's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry Jones is Physical Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 225200000X.
On what date did the Jerry Jones receive the assignment of its 1104073063 from the Centers for Medicare & Medicaid Services?
The Jerry Jones was issued its 1104073063 by the Centers for Medicare & Medicaid Services on 2008-08-22.
When was the information pertaining to Jerry Jones most recently updated or revised?
The details related to Jerry Jones, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-22.
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