Active NPI
Jayna Dinsmore, L.M.T., P.T.A
- Physical Therapy Assistant
- Lakeland, FL
National Provider Identifier
1003289570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 26011
- Practice address
- 321 Imperial Blvd
D38
Lakeland, FL 33803 - Phone
- (186) 093-0294
- NPI assigned
- Nov 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 26011 | FL | Primary |
| Physical Therapy Assistant | 225200000X | 1564 | CT | |
| Massage Therapist | 225700000X | MA79747 | FL | |
| Massage Therapist | 225700000X | 1315 | CT |
Addresses
Primary practice location
321 Imperial Blvd
D38
Lakeland, FL 33803
Mailing address
321 Imperial Blvd
D38
Lakeland, FL 33803-5622
Phone (860) 930-2948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 26011 | FL | MD | Physical Therapy Assistant |
| MA79747 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1003289570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 IMPERIAL BLVD",
"address_2": "D38",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338035622",
"telephone_number": "860-930-2948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 IMPERIAL BLVD",
"address_2": "D38",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33803",
"telephone_number": "186-093-0294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINSMORE",
"first_name": "JAYNA",
"credential": "L.M.T., P.T.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 26011",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CT",
"license": "1564",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA79747",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "1315",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.