Provider Demographics
NPI:1689719312
Name:JAMI LLC
Entity Type:Organization
Organization Name:JAMI LLC
Other - Org Name:SIGNIFICANT PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY,TREASURER,PT
Authorized Official - Prefix:
Authorized Official - First Name:MARTINA
Authorized Official - Middle Name:HERNANDEZ
Authorized Official - Last Name:PACO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:615-397-6627
Mailing Address - Street 1:3017 MELBOURNE CT E
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-7540
Mailing Address - Country:US
Mailing Address - Phone:615-232-9201
Mailing Address - Fax:615-232-9202
Practice Address - Street 1:4982 LEBANON PIKE
Practice Address - Street 2:SUITE C
Practice Address - City:OLD HICKORY
Practice Address - State:TN
Practice Address - Zip Code:37138-4107
Practice Address - Country:US
Practice Address - Phone:615-232-9201
Practice Address - Fax:615-232-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SAVE225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3728633Medicaid
TN3728633Medicaid
TN3728633Medicare ID - Type UnspecifiedGROUP PRICING #