Janet Kelly Morton I, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 1680 Issued in FL

Practice address

195 Mattie Kelly Blvd
Destin, FL 32541-2811

Phone

(850) 654-4588

Fax

(850) 424-7483

NPI assigned

Nov 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Janet Marisa Kelly I Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1134525496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 WHITEWOOD WAY",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325784216",
            "telephone_number": "850-424-7483",
            "fax_number": "850-424-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MATTIE KELLY BLVD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412811",
            "telephone_number": "850-654-4588",
            "fax_number": "850-424-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "JANET",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 1680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # PTA1680",
            "identifier": "PTA1680",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "KELLY",
            "middle_name": "MARISA",
            "prefix": "MISS",
            "suffix": "I",
            "credential": "LPTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Shaun A. Myers, PA
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• Narconon Gulf Coast, Inc.

• Physical Therapy Assistant in Destin, FL
• Providers in Destin, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.