Jennifer Lane Webb, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19269 Issued in FL

Practice address

3420 E 15TH St
Panama City, FL 32405-7425

Phone

(850) 215-8844

Fax

(850) 215-6644

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Excel Therapy, LLC

  • Physical Therapist
  • Panama City, FL
  • NPI 1528344934
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1275558447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17352 MAIN ST N",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241763",
            "telephone_number": "850-674-4300",
            "fax_number": "850-674-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 E 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057425",
            "telephone_number": "850-215-8844",
            "fax_number": "850-215-6644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 Palm Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Joe",
            "state": "FL",
            "postal_code": "324562327",
            "country_code": "US",
            "telephone_number": "850-643-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JENNIFER",
        "middle_name": "LANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886498500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Michele Weatherall, CRNA
• Alexis Eyvonne Weaver
• James Thomas Weaver, MS
• Stacy S Weaver, CNM, APRN
• Jarah Webb
• Katie Marie Webb, D.O.
• Mary K Webb, PHARMD
• Shana Meghan Webb, ARNP
• Andrew Michael Weber, MD
• Steven Mark Weeks, MD

• All providers in Panama City, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.