Look up the most recent NPI and PECOS records

Jacquelyn Mitchell Fox

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Jacquelyn Mitchell Fox does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1417039876
Provider Type
Individual
Full Name
Fox, Jacquelyn Mitchell
Credential
PHYSICAL THERAPIST

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/19/2006
Last Updated
7/8/2007

Contact Information

Practice Location

210 Oak St N, Sweetwater, TN 37874-2833

(423) 337-7500

(423) 337-7504

Mailing Location

210 Oak St N, Sweetwater, TN 37874-2833

(423) 337-7500

(423) 337-7504

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License PT0000001175 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 0123087	Description Other	Issuer BLUE CROSS/BLUE SHIELD Tennessee

Jacquelyn Mitchell Fox

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Allen, Blake Wesley

Independent Physical Therapy

Kothe, Cheryl Ann

Hermes, Gabrielle Elizabeth

Hurt, Kristin L.

Gerber, Jenna Kate Marie

Hopkins, Carole Lynne

Timko, Jonathan

Drayer Physical Therapy Institute Of Ky, Pllc

Riddle, Steven