Individual provider Active NPI

Denita McMaster, PTA

  • Physical Therapy Assistant
  • Lincoln, AL
National Provider Identifier
1104231448
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA7212 Issued in AL
Practice address
1800 Honda Dr
Medical - PT
Lincoln, AL 35096-5105
Phone
(205) 355-5000
NPI assigned
Jun 25, 2014
Last updated
Aug 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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 PTA7212 AL Primary

Addresses

Primary practice location

1800 Honda Dr
Medical - PT
Lincoln, AL 35096-5105

Mailing address

1800 Honda Dr
Lincoln, AL 35096-5105
Phone (205) 355-5000

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
PTA7212ALMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1104231448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HONDA DR",
            "city": "LINCOLN",
            "state": "AL",
            "postal_code": "350965105",
            "telephone_number": "205-355-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HONDA DR",
            "address_2": "MEDICAL - PT",
            "city": "LINCOLN",
            "state": "AL",
            "postal_code": "350965105",
            "telephone_number": "205-355-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMASTER",
        "first_name": "DENITA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA7212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.