Individual provider Active NPI

Jane Frances Mennie, MS,PT

  • Physical Therapist
  • Kingwood, TX
National Provider Identifier
1386856706
Registry record updated Dec 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1171828 Issued in TX
Practice address
1215 Kingwood Dr
Kingwood, TX 77339-3035
Phone
(281) 359-3535
Fax
(281) 359-1885
NPI assigned
May 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1171828 TX Primary
Physical Therapist 225100000X 10729 NC
Physical Therapist 225100000X PT005262 GA

Addresses

Primary practice location

1215 Kingwood Dr
Kingwood, TX 77339-3035

Mailing address

425 Boyd Ridge Dr
Murphy, NC 28906-6504
Phone (828) 788-0081

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT005262GAMDPhysical Therapist
10729NCMDPhysical Therapist
1171828TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196467200000",
    "number": "1386856706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BOYD RIDGE DR",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066504",
            "telephone_number": "828-788-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 KINGWOOD DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393035",
            "telephone_number": "281-359-3535",
            "fax_number": "281-359-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNIE",
        "first_name": "JANE",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "MS,PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2007-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1171828",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10729",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT005262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; 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.