Active NPI
Joanne Annette Hart, PTA
- Physical Therapy Assistant
- Lynn Haven, FL
National Provider Identifier
1447853643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA28421
- Practice address
- 2211 Florida S Highway 77
Suite 200
Lynn Haven, FL 32444-4640 - Phone
- (850) 252-1853
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA28421 | FL | Primary |
Addresses
Primary practice location
2211 Florida S Highway 77
Suite 200
Lynn Haven, FL 32444-4640
Mailing address
2211 Florida 77
Suite 200
Lynn Haven, FL 32444
Phone (850) 252-1414
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA28421 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellence Physical Therapy LLC | Current | Accepting new patients |
Locations
2211 S Highway 77
Ste 200
Lynn Haven, FL 32444
Phone (850) 252-1414
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Lynn Haven, FL
- NPI 1679109953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1447853643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 FLORIDA 77",
"address_2": "SUITE 200",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "32444",
"telephone_number": "850-252-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 FLORIDA S HIGHWAY 77",
"address_2": "SUITE 200",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "324444640",
"telephone_number": "850-252-1853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "JOANNE",
"middle_name": "ANNETTE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA28421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynn Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.