Active NPI
James Austin Carpenter
- Physical Therapy Assistant
- Winona, MS
National Provider Identifier
1225619018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA7044
- Practice address
- 627 Middleton Rd Ste 600
Winona, MS 38967-2021 - Phone
- (662) 283-1260
- NPI assigned
- Apr 14, 2021
- Last updated
- Apr 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA7044 | MS | Primary |
Addresses
Primary practice location
627 Middleton Rd Ste 600
Winona, MS 38967-2021
Mailing address
375 Honeycutt Rd
Gore Springs, MS 38929-9593
Phone (662) 582-8054
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA7044 | MS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1225619018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 HONEYCUTT RD",
"city": "GORE SPRINGS",
"state": "MS",
"postal_code": "389299593",
"telephone_number": "662-582-8054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 MIDDLETON RD STE 600",
"city": "WINONA",
"state": "MS",
"postal_code": "389672021",
"telephone_number": "662-283-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "JAMES",
"middle_name": "AUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-14",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MS",
"license": "PTA7044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winona, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.