Misty Bittner

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA24685 Issued in FL

Practice address

10 W Grove Ave
Lake Wales, FL 33853-4516

Phone

(863) 632-3793

NPI assigned

Oct 7, 2019

Last updated

Oct 7, 2019By the provider in NPPES

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

Electronic endpoints 1

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1144861691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COLLEGE AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015507",
            "telephone_number": "863-326-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W GROVE AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534516",
            "telephone_number": "863-632-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTNER",
        "first_name": "MISTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mistybittnerpta@gmail.com",
            "affiliation": "N",
            "address_1": "10 W Grove Ave",
            "city": "Lake Wales",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338534516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charlene G Bennett, LCSW
• Stephanie Ann Benton
• Jeffrey Berdahl
• Julia Hunt Berkau, PT
• Best Value Healthcare (Ridge Medical Associates)
• Danice Blaise, MD,MBA
• Thomas Martin Bonds I
• Brain Spine and Sleep Institute LLC (Brain Spine and Sleep Institute)
• Colette Braunstein, LCSW
• Roy Z Braunstein, MD

• Physical Therapy Assistant in Lake Wales, FL
• Providers in Lake Wales, 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 Oct 7, 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.

Verify at the official NPI Registry.