Active NPI
Kayla Northern
- Physical Therapy Assistant
- Frisco City, AL
National Provider Identifier
1083267009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA50022
- Practice address
- 1080 Mexboro Rd
Frisco City, AL 36445-3520 - Phone
- (251) 362-8285
- NPI assigned
- Jul 18, 2019
- Last updated
- Jul 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA8479 | AL | |
| Physical Therapy Assistant | 225200000X | PTA50022 | CA | Primary |
Addresses
Primary practice location
1080 Mexboro Rd
Frisco City, AL 36445-3520
Mailing address
1080 Mexboro Rd
Frisco City, AL 36445-3520
Phone (251) 362-8285
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 |
|---|---|---|---|
| PTA8479 | AL | MD | Physical Therapy Assistant |
| PTA50022 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1083267009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 MEXBORO RD",
"city": "FRISCO CITY",
"state": "AL",
"postal_code": "364453520",
"telephone_number": "251-362-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 MEXBORO RD",
"city": "FRISCO CITY",
"state": "AL",
"postal_code": "364453520",
"telephone_number": "251-362-8285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHERN",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "PTA8479",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "PTA50022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.