Individual provider Active NPI

Meagan Jane Barnette, PTA

  • Physical Therapy Assistant
  • Chiefland, FL
National Provider Identifier
1265467427
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA 2481 Issued in AR
Practice address
1315 NW 21St Ave Ste 3
Chiefland, FL 32626-1959
Phone
(352) 493-2999
Fax
(352) 493-0026
NPI assigned
Jul 12, 2006
Last updated
Dec 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 20464 FL
Physical Therapy Assistant 225200000X PTA 2481 AR Primary

Addresses

Primary practice location

1315 NW 21St Ave Ste 3
Chiefland, FL 32626-1959

Mailing address

140 Illinois Dr
Jacksonville, AR 72076-1014
Phone (334) 477-0705

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

LicenseStateTypeSpecialty
PTA 2481ARMDPhysical Therapy Assistant
PTA 20464FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1265467427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ILLINOIS DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720761014",
            "telephone_number": "334-477-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 NW 21ST AVE STE 3",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261959",
            "telephone_number": "352-493-2999",
            "fax_number": "352-493-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETTE",
        "first_name": "MEAGAN",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 20464",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA 2481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chiefland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.