Jenae N McIntyre, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT10227 Issued in CA

Practice address

8702 Lind Vern CT
Santee, CA 92071-4338

Phone

(619) 772-7460

NPI assigned

Mar 27, 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

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1225455173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8702 LIND VERN CT",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714338",
            "telephone_number": "619-772-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 LIND VERN CT",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714338",
            "telephone_number": "619-772-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "JENAE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT10227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann McCandless, H.H.P.
• Tamara McClure, LAC.
• Christina McCreary, M.S., CF-SLP
• Mellanie McDuffie
• Tina Beth McIntire, MA
• Laurel Louise McIntyre, MFT
• Raymond Edward McIntyre, MFT
• Shannen Larae McKinney
• Randee McLain, LCSW
• Courtney Louise McLean-Simma

• Physical Therapy Assistant in Santee, CA
• Providers in Santee, CA by specialty
• Physical Therapy Assistant in California

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