WEST TENNESSEE CEREBRAL PALSY ASSOCIATION (NPI# 1639289077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639289077 |
| Entity Type | Organization |
| Organization Name | WEST TENNESSEE CEREBRAL PALSY ASSOCIATION |
| Practice Address |
34 Garland Dr Jackson TN 38305-3654 |
| Practice Telephone | 7316683322 |
| Practice Fax Number | 7316642992 |
| Mailing Telephone | 7316683322 |
| Mailing Fax Number | 7316642992 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TRACY M PRESCOTT (CFO) |
| Authorized Official Telephone | 7316683322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PSS0000000110 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
PSS0000000110 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 235Z00000X | Speech-Language Pathologist | PSS0000000110 | TN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 446656 | 05 | |
| TN | UNISON | 117255 | 01 |
| TN | TLC | 13886 | 01 |
| TN | BCBS TENNESSEE SELECT | 30997 | 01 |
| Street Address |
34 GARLAND DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736091 | Chantel C Harrison | Speech-Language Pathologist | 34 Garland Dr, Jackson, TN 38305-3654 | 2020-10-05 |
| 1306451810 | Rebekah June Pennington | Occupational Therapy Assistant | 34 Garland Dr, Jackson, TN 38305-3654 | 2020-09-11 |
| 1730794249 | Kaylie Brooke Wehner | Occupational Therapist | 34 Garland Dr, Jackson, TN 38305-3654 | 2020-09-11 |
| 1053926659 | Penny Ann Gibson | Occupational Therapist | 34 Garland Dr, Jackson, TN 38305-3654 | 2020-09-10 |
| 1053926667 | Hayley Alexandria Lumpkin | Occupational Therapist | 34 Garland Dr, Jackson, TN 38305-3654 | 2020-09-10 |
| 1407461064 | Robyn Leigh Reedy | Speech-Language Pathologist | 34 Garland Dr, Jackson, TN 38305-3654 | 2020-09-10 |
| 1245845817 | Alicia Nichole Rinks | Occupational Therapist | 34 Garland Dr, Jackson, TN 38305-3654 | 2020-09-10 |
| 1982219531 | Jaime Jo Pittenger | Physical Therapy Assistant | 34 Garland Dr, Jackson, TN 38305-3654 | 2020-09-10 |
| 1063929743 | Nancy Prather | Occupational Therapy Assistant | 34 Garland Dr, Jackson, TN 38305-3654 | 2018-01-04 |
| 1609383256 | Britney Shumate | Physical Therapy Assistant | 34 Garland Dr, Jackson, TN 38305-3654 | 2018-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255679106 | Annette C Harduby | Physical Therapist | 125 Andover Rd, Jackson, NJ 08527-1222 | 2013-01-28 |
| 1629145255 | Laskin Therapy Group, P.a. | Physical Therapist | 4500 Interstate 55 North, Suite 291, Highland Village, Jackson, MS 39211 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356889992 | Konstance Hines | Physical Therapist | 7827 Anna Calla Way, Bartlett, TN 38133-5809 | 2017-02-02 |
| 1659813905 | Kimberly W. Coffey | Physical Therapist | 8350 Mitchell Mill Rd, Ooltewah, TN 37363-6861 | 2016-11-16 |
| 1013461219 | Courtney Jones | Physical Therapist | 101 Glenway Ct, Nashville, TN 37221-3021 | 2016-08-05 |
| 1093129900 | Kimberly Sherman Lee | Physical Therapist | 1045 Spencer Rd, Rock Island, TN 38581 | 2014-06-18 |
| 1508270505 | Continuum Healthcare Staffing LLC | Physical Therapist | 819 Oaklawn Ct, Cookeville, TN 38501-2921 | 2014-06-17 |
| 1649523622 | Melinda Kay Giles | Physical Therapist | 686 Poplar Dr, Mount Juliet, TN 37122-4106 | 2012-10-16 |
| 1710234414 | Pamela Lee Woodside | Physical Therapist | 9720 Mountain Ash Ct, Brentwood, TN 37027-8955 | 2012-08-13 |
| 1306117130 | Linda C Burgess | Physical Therapist | 7370 Forrest Glenn Rd, Fairview, TN 37062-8311 | 2012-01-25 |
| 1497039374 | Lebanon Special School District | Physical Therapist | 507 Coles Ferry Pike, Lebanon, TN 37087-2209 | 2011-10-10 |
| 1952576415 | Bethany Lambert | Physical Therapist | 1880 B General George Patton, #202, Nashville, TN 37067 | 2008-04-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.