1700894946 NPI number — MS. PAMELA M JONES PT

Table of content: MS. PAMELA M JONES PT (NPI 1700894946)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700894946 NPI number — MS. PAMELA M JONES PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
PAMELA
Provider Middle Name:
M
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MOORE
Provider Other First Name:
PAMELA
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1700894946
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/13/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4517 SOUTHLAKE PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOOVER
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35244-3280
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-985-4111
Provider Business Mailing Address Fax Number:
205-985-4326

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4517 SOUTHLAKE PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOOVER
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35244-3280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-985-4111
Provider Business Practice Location Address Fax Number:
205-985-4326
Provider Enumeration Date:
08/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PTH3538 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PTH3538 . This is a "PHYSICAL THERAPY LICENSE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com