Jennifer Lyne Chandler, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

24125 Issued in FL

Practice address

1119 Saxon Blvd
Orange City, FL 32763-8470

Phone

(386) 774-4404

Fax

(386) 774-4496

NPI assigned

Dec 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Cora Health Services, Inc

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)
• Cora Health Services, Inc

  • Athletic Trainer
  • Lake Placid, FL
  • NPI 1831234350
  NPD (past)

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1225469786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 PINE TREE RD NE",
            "address_2": "UNIT 2113",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245670",
            "telephone_number": "404-944-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 SAXON BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638470",
            "telephone_number": "386-774-4404",
            "fax_number": "386-774-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "JENNIFER",
        "middle_name": "LYNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003156",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "24125",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "1552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Florida Pulmonary Consultants
• Central Florida Radiology LLC
• Central Florida Rheumatology Consultants LLC
• Central Florida Therapy Solutions
• Sameer Chadha
• Jay C Chanmugam, DO
• Darius Richard Charon, DC
• Uday R Chauhan, MD PA
• Nadezhda Cheban
• Menglan Chen, MD, AP

• All providers in Orange City, FL
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.