Individual provider Active NPI

Juanita Lynn Mullins-Hubbard, P.T.A.

  • Physical Therapy Assistant
  • Huntsville, TX
National Provider Identifier
1356600282
Registry record updated May 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2010906 Issued in TX
Practice address
2 Financial PLZ
Huntsville, TX 77340-3555
Phone
(832) 642-2189
Fax
(936) 439-9777
NPI assigned
May 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2010906 TX Primary

Addresses

Primary practice location

2 Financial PLZ
Huntsville, TX 77340-3555

Mailing address

PO Box 8368
Huntsville, TX 77340-0007
Phone (832) 642-2189

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
2010906TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336780800000",
    "number": "1356600282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8368",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773400007",
            "telephone_number": "832-642-2189",
            "fax_number": "936-439-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FINANCIAL PLZ",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773403555",
            "telephone_number": "832-642-2189",
            "fax_number": "936-439-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS-HUBBARD",
        "first_name": "JUANITA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-12",
        "last_updated": "2012-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2010906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.