JACK WEAIR WOOTEN JR. NPI 1003414293

Massage Therapist in Nashville, TN

NPI 1003414293 Individual Male Massage Therapist

About JACK WOOTEN

Jack Wooten is a provider established in Nashville, Tennessee and his medical specialization is massage therapist. The NPI number of Jack Wooten is 1003414293 and was assigned on October 2020. The practitioner's primary taxonomy code is 225700000X with license number 2212 (TN). The provider is registered as an individual and his NPI record was last updated one year ago.

Jack Wooten is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003414293

Provider Name JACK WEAIR WOOTEN JR.
Provider Location Address2612 W HEIMAN ST APT D38 NASHVILLE, TN 37208
Provider Mailing Address2612 W HEIMAN ST APT D38 NASHVILLE, TN 37208
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-12-2020
Last Update Date10-12-2020


Primary Taxonomy

Taxonomy Code225700000X
ClassificationMassage Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.2212
License StateTN
Taxonomy DescriptionAn individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Business Address

JACK WEAIR WOOTEN JR.
2612 W HEIMAN ST APT D38
NASHVILLE, TN
ZIP 37208
Phone: (615) 686-5212

Get Directions


Mailing Address

JACK WEAIR WOOTEN JR.
2612 W HEIMAN ST APT D38
NASHVILLE, TN
ZIP 37208
Phone: (615) 686-5212



Secondary Locations

2612 W Heiman St Apt D38
Nashville, TN 37208
2612 W Heiman St Apt D38
Nashville, TN 37208
2612 W Heiman St Apt 38D
Nashville, TN 37208

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.