Individual provider Active NPI

Jacqueline Marie Ransaw

  • Physical Therapy Assistant
  • Montgomery, AL
National Provider Identifier
1043840804
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
AL495 Issued in AL
Practice address
520 S Hull St
Montgomery, AL 36104-4610
Phone
(334) 834-2920
Fax
(334) 834-1145
NPI assigned
Jan 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AL495 AL Primary

Addresses

Primary practice location

520 S Hull St
Montgomery, AL 36104-4610

Mailing address

520 S Hull St
Montgomery, AL 36104-4610
Phone (334) 834-2920

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jransaw@capitolhillteam.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
AL495ALMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1043840804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S HULL ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361044610",
            "telephone_number": "334-834-2920",
            "fax_number": "334-834-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S HULL ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361044610",
            "telephone_number": "334-834-2920",
            "fax_number": "334-834-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANSAW",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "AL495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jransaw@capitolhillteam.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "520 S Hull St",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361044610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.