Individual provider Active NPI

Jennifer Renee McCurry, P.T.A.

  • Physical Therapy Assistant
  • Scottsdale, AZ
National Provider Identifier
1174842355
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
6361A Issued in AZ
Practice address
8115 E Indian Bend Rd
Suite 123
Scottsdale, AZ 85250-4819
Phone
(480) 951-6451
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 6361A AZ Primary

Addresses

Primary practice location

8115 E Indian Bend Rd
Suite 123
Scottsdale, AZ 85250-4819

Mailing address

15801 S 48TH St
Apartment 2109
Phoenix, AZ 85048-0807
Phone (480) 307-1692

Other names 1

  • Mrs. Jennifer Renee Clauson Former name

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

LicenseStateTypeSpecialty
6361AAZMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1174842355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 S 48TH ST",
            "address_2": "APARTMENT 2109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480807",
            "telephone_number": "480-307-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 E INDIAN BEND RD",
            "address_2": "SUITE 123",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504819",
            "telephone_number": "480-951-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURRY",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "6361A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CLAUSON",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "P.T.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.