Active NPI
Brittney Lynn Poore, LPTA
- Physical Therapy Assistant
- Anniston, AL
National Provider Identifier
1033958517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA11786
- Practice address
- 626 Leighton Ave
Suite B
Anniston, AL 36207 - Phone
- (256) 235-2524
- Fax
- (256) 236-2573
- NPI assigned
- May 23, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA11786 | AL | Primary |
Addresses
Primary practice location
626 Leighton Ave
Suite B
Anniston, AL 36207
Mailing address
626 Leighton Ave. Ste B
Anniston, AL 36207
Phone (256) 235-2524
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 |
|---|---|---|---|
| PTA11786 | AL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1033958517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 LEIGHTON AVE. STE B",
"city": "ANNISTON",
"state": "AL",
"postal_code": "36207",
"telephone_number": "256-235-2524",
"fax_number": "256-236-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 LEIGHTON AVE",
"address_2": "SUITE B",
"city": "ANNISTON",
"state": "AL",
"postal_code": "36207",
"telephone_number": "256-235-2524",
"fax_number": "256-236-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POORE",
"first_name": "BRITTNEY",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-23",
"last_updated": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "PTA11786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anniston, AL
- Arricka Player, LMSW
- PM Healthcare LLC (Medical Pain Management)
- Caley Ponder, CRNP
- Madeline Grace Ponder, BS,MS
- Sandra Kay Ponder, NURSE PRACTITIONER
- Tristan Andrew Poore, RBT
- Jessica Meek Popham, PHARM.D.
- Chelsea Katelyn Popp, DNP, CRNP, FNP-C
- Populations and Interventions Team Company
- Shimshon Porat, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.