Catherine Ann Jellie, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA19751 Issued in FL

Practice address

1698 W Hibiscus Blvd
Suite a
Melbourne, FL 32901-2639

Phone

(321) 768-6119

Fax

(321) 768-1710

NPI assigned

Feb 27, 2009

Last updated

Feb 27, 2009By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Therapy Center of Palm Bay, LLC

  • Physical Therapist
  • Palm Bay, FL
  • NPI 1447492863
  NPD (past)
• Loggerhead Medical LLC

  dba Advanced Pain and Neuromuscular Consultants of Brevard

  • Pain Medicine (Anesthesiology) Physician
  • Melbourne, FL
  • NPI 1023041001
  NPD (past)

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1255571485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 W HIBISCUS BLVD",
            "address_2": "SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012639",
            "telephone_number": "321-768-6119",
            "fax_number": "321-768-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 W HIBISCUS BLVD",
            "address_2": "SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012639",
            "telephone_number": "321-768-6119",
            "fax_number": "321-768-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELLIE",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA19751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adwait H Jathal, M.D.
• Jay E. Olsson, D.O., P.a.
• Elizabeth Leigh Jefferson
• Shaila Jeffress
• Jeffrey M Williamson PHD LLC
• Melissa Jenkins-Fernandez, PSYD
• Darryl Anthony Jenkins Jr.
• Jennifer Dolores Jenkins
• Elizabeth Evans Jenks
• Jacqueline Jennings, RN

• Physical Therapy Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.