Danita Puckett, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4944 Issued in AR

Practice address

15 Mount Zion LN
Batesville, AR 72501-7026

Phone

(870) 307-3624

NPI assigned

Jul 26, 2024

Sex

Female

Sole proprietor

Yes

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

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.

• Zion Therapy Services

  • Health Service Clinic/Center
  • Batesville, AR
  • NPI 1770165482
  NPD

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1235967597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MOCKINGBIRD ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725016603",
            "telephone_number": "870-612-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOUNT ZION LN",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017026",
            "telephone_number": "870-307-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "DANITA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Velvet Prewitt, LICENSED OPTICIAN
• Zoe L Price, COTA/L
• Professional Home Care
• Professional Home Care
• Tammy Pruitt-Davidson
• Kristy P Pullman
• Carlie Qualls, ECDT
• Melissa Qualls
• Sai Teja Rachakonda, MD
• Karen Ragland

• Physical Therapy Assistant in Batesville, AR
• Providers in Batesville, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.