Active NPI
Jenny Rainey I, LPTA
- Physical Therapy Assistant
- Springdale, AR
National Provider Identifier
1245697176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA1253
- Practice address
- 601 W Maple Ave
Springdale, AR 72764-5335 - Phone
- (479) 757-4700
- Fax
- (479) 757-2949
- NPI assigned
- Jan 22, 2016
- Sex
- Female
- Sole proprietor
- No
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 | PTA1253 | AR | Primary |
Addresses
Primary practice location
601 W Maple Ave
Springdale, AR 72764-5335
Mailing address
2422 N Thompson St
Springdale, AR 72764-1757
Phone (479) 757-8099
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 |
|---|---|---|---|
| PTA1253 | AR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1245697176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 N THOMPSON ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727641757",
"telephone_number": "479-757-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W MAPLE AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645335",
"telephone_number": "479-757-4700",
"fax_number": "479-757-2949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINEY",
"first_name": "JENNY",
"name_suffix": "I",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-22",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "PTA1253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.