Active NPI
Angela Lashell Wooten-Hart, PTA
- Physical Therapy Assistant
- Mesquite, TX
National Provider Identifier
1144700345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2087630
- Practice address
- 3160 Gus Thomasson Rd
Mesquite, TX 75150-4048 - Phone
- (469) 329-4002
- NPI assigned
- Aug 16, 2018
- 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 | 2087630 | TX | Primary |
Addresses
Primary practice location
3160 Gus Thomasson Rd
Mesquite, TX 75150-4048
Mailing address
503 Persimmon TRL
Forney, TX 75126-0058
Phone (318) 680-8185
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 |
|---|---|---|---|
| 2087630 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1144700345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 PERSIMMON TRL",
"city": "FORNEY",
"state": "TX",
"postal_code": "751260058",
"telephone_number": "318-680-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 GUS THOMASSON RD",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751504048",
"telephone_number": "469-329-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTEN-HART",
"first_name": "ANGELA",
"middle_name": "LASHELL",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2023-02-06",
"certification_date": "2023-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2087630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.