Individual provider Active NPI

Jacqueline M Neff, PTA

  • Physical Therapy Assistant
  • Altamonte Springs, FL
National Provider Identifier
1447773197
Registry record updated Oct 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA27587 Issued in FL
Practice address
1099 W Town Pkwy
Altamonte Springs, FL 32714-3845
Phone
(407) 865-8000
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2017

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 PTA27587 FL Primary

Addresses

Primary practice location

1099 W Town Pkwy
Altamonte Springs, FL 32714-3845

Mailing address

1121 Meadow Lake Way Apt 111
Winter Springs, FL 32708-5221

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
PTA27587FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508544000000",
    "number": "1447773197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 MEADOW LAKE WAY APT 111",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 W TOWN PKWY",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143845",
            "telephone_number": "407-865-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEFF",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2017; 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.