Active NPI
James R Jones, PTA
- Physical Therapy Assistant
- Winter Park, FL
National Provider Identifier
1013064484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA#13902
- Practice address
- 811 S Orlando Ave Ste H
Winter Park, FL 32789-7102 - Phone
- (407) 628-5500
- Fax
- (407) 628-5505
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA#13902 | FL | Primary |
Addresses
Primary practice location
811 S Orlando Ave Ste H
Winter Park, FL 32789-7102
Mailing address
4021 Ibis Dr
Orlando, FL 32803-3005
Phone (407) 579-6821
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA#13902 | FL | MD | Physical Therapy Assistant |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013064484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4021 IBIS DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328033005",
"telephone_number": "407-579-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 S ORLANDO AVE STE H",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327897102",
"telephone_number": "407-628-5500",
"fax_number": "407-628-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JAMES",
"middle_name": "R",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA#13902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.