Janell Ranae Macdougall, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306603503 Issued in VA

Practice address

101 E State St
Kennett Square, PA 19348-3109

Phone

(610) 444-6350

Fax

(610) 925-4000

NPI assigned

Oct 2, 2013

Last updated

Oct 2, 2013By 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 1

Addresses

Other names 1

• Miss Janell Ranae Eberly Former name

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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1427485689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CROSS ROAD LN",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392331",
            "telephone_number": "540-885-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-444-6350",
            "fax_number": "610-925-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "JANELL",
        "middle_name": "RANAE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELL",
            "last_name": "EBERLY",
            "middle_name": "RANAE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward Luebbers
• Elizabeth Ann Luscavage, OD
• Lonnie Luscavage, MD
• Jeremy T Lutz
• Anne Marie Maahs, CCC-SLP
• Bridget Magee, DPT
• Margarita Emma Makarova, PHARMD
• Megan May Makin, M.A. CCC-SLP-L
• Radhika Malhotra, DMD
• Brian Christopher Mallon, DPT

• Physical Therapy Assistant in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.