Jennifer M Ivy in Ridgeland - Physical Therapy Assistant
Jennifer M Ivy - NPI 1912190315
Jennifer M Ivy is a Physical Therapy Assistant in Ridgeland, Mississippi. Jennifer M Ivy practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Jennifer M Ivy is 1912190315. The last update date is 2007-08-20.
Jennifer M Ivy's current location address is Po Box 315, Ridgeland, Mississippi. You can contact this provider via phone number 6012069195 and fax number 6019578391. The mailing address for Jennifer M Ivy is Po Box 315, Ridgeland, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer M Ivy |
|---|---|
| Address | Po Box 315, Ridgeland, Mississippi |
| Phone Number | 6012069195 |
| Fax Number | 6019578391 |
| Sole Proprietor | N |
| Credentials | LPTA |
NPI Number Detail
| NPI Number | 1912190315 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2007-08-20 |
Provider Mailing Address Detail
| Address | Po Box 315 |
|---|---|
| City | Ridgeland |
| State | Mississippi (MS) |
| Post Code | 391580315 |
| Phone Number | 6012069195 |
| Fax Number | 6019578391 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA1655 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9014160 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jennifer M Ivy by the Centers for Medicare & Medicaid Services?
The Jennifer M Ivy has been issued the NPI (National Provider Identifier) 1912190315. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jennifer M Ivy located?
The Jennifer M Ivy is located at Po Box 315, Ridgeland, MS 391580315.
What is Jennifer M Ivy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer M Ivy's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.
On what date did the Jennifer M Ivy receive its 1912190315 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer M Ivy was assigned its 1912190315 by the Centers for Medicare & Medicaid Services on 2007-08-20.
As of what date were the details related to Jennifer M Ivy most recently updated or revised?
The information pertaining to Jennifer M Ivy, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-20.