Cheryl Lynette Puckett, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2128405 Issued in TX

Practice address

1100 W Avenue J
Muleshoe, TX 79347-4424

Phone

(806) 272-7578

NPI assigned

Jan 21, 2018

Last updated

Jan 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516492800000",
    "number": "1366950669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 COUNTY ROAD 193",
            "city": "MULESHOE",
            "state": "TX",
            "postal_code": "793476288",
            "telephone_number": "806-946-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W AVENUE J",
            "city": "MULESHOE",
            "state": "TX",
            "postal_code": "793474424",
            "telephone_number": "806-272-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "CHERYL",
        "middle_name": "LYNETTE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2018-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "PTA1454",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2128405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Hospital Leasing Muleshoe, Inc. (Muleshoe Family Medicine Clinic)
• Preferred Hospital Leasing Muleshoe, Inc.
• Preferred Hospital Leasing Muleshoe, Inc. (Muleshoe Area Medical Center)
• Preferred Hospital Leasing Muleshoe, Inc. (Medical Clinic of Muleshoe)
• Preferred Hospital Leasing Muleshoe, Inc. (Muleshoe Area Medical Center)
• Jerry D. Redwine, O.D.
• Regence Health Network Inc
• Robert L. Lepard D.D.S.,P.a.
• Johnny Don Roberts, FNP
• RSP of Muleshoe, LLC (Roden-Smith Pharmacy)

• Physical Therapy Assistant in Muleshoe, TX
• Providers in Muleshoe, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.