Active NPI
Anna Claire Jefcoat, LPTA
- Physical Therapy Assistant
- Bruce, MS
National Provider Identifier
1124332135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA4438
- Practice address
- 176 Highway 9 N
Bruce, MS 38915 - Phone
- (662) 412-5220
- NPI assigned
- Aug 2, 2010
- Last updated
- Aug 2, 2010
- 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 | PTA4438 | MS | Primary |
Addresses
Primary practice location
176 Highway 9 N
Bruce, MS 38915
Mailing address
175 Magnolia South Cir
Pontotoc, MS 38863-2703
Phone (662) 419-0761
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 |
|---|---|---|---|
| PTA4438 | MS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1124332135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MAGNOLIA SOUTH CIR",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "388632703",
"telephone_number": "662-419-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 HIGHWAY 9 N",
"city": "BRUCE",
"state": "MS",
"postal_code": "38915",
"telephone_number": "662-412-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFCOAT",
"first_name": "ANNA",
"middle_name": "CLAIRE",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-02",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MS",
"license": "PTA4438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bruce, MS
- Becky F. Butts, M.S. CCC-SLP
- CLC of Bruce, LLC (Bruce Community Living Center)
- Damon Doler, PT
- Home Health Care Affiliates of Mississippi, Inc. (CenterWell Home Health)
- Kallie Hopson, PHARMD
- Elizabeth Kavanagh, PT
- Logans Discount Drugs Inc
- Logans Discount Drugs Inc
- Lauren Abigail Lomenick, PHARMD
- Tom B Longest Jr., MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.