Individual provider Active NPI

Jana Brackett, PT, DPT

  • Physical Therapist
  • Chelsea, AL
National Provider Identifier
1164094694
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11079 Issued in AL
Practice address
100 Chelsea Corners Way Ste 100
Chelsea, AL 35043-8207
Phone
(205) 678-7272
NPI assigned
Jul 14, 2021
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1349477 TX
Physical Therapist 225100000X PTH11079 AL Primary

Addresses

Primary practice location

100 Chelsea Corners Way Ste 100
Chelsea, AL 35043-8207

Mailing address

2823 Greystone Commercial Blvd
Hoover, AL 35242-2660
Phone (205) 745-3660

Other practice location 1

5833 W I 20
Arlington, TX 76017-1057
Phone (817) 516-1115

Other names 1

  • Jana McEwen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221222001684 AL Practitioner - Physical Therapist in Private Practice 9133599731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Mississippi School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapysouth ChelseaGroup PAC ID 4284898982, 10 clinicians

Practice addresses (Care Compare)

100 Chelsea Corners Way
Suite 101
Chelsea, AL 35043-8207
Phone (205) 678-7272

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1349477TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapysouth Chelsea Physical Therapist CurrentSince Nov 25, 2022 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist PastSince Jul 1, 2021 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist PastSince Jul 1, 2021 Accepting new patients

Locations

100 Chelsea Corners Way
Ste 101
Chelsea, AL 35043
Phone (205) 678-7272

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1164094694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660",
            "fax_number": "205-745-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHELSEA CORNERS WAY STE 100",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350438207",
            "telephone_number": "205-678-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5833 W I 20",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760171057",
            "country_code": "US",
            "telephone_number": "817-516-1115",
            "fax_number": "817-516-1104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "JANA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1349477",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "MCEWEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chelsea, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.