Jana Lynn Moore, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA20419 Issued in FL

Practice address

1720 State Road 44
New Smyrna Beach, FL 32168-8339

Phone

(386) 427-3336

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Greg J. Mercurio, MD, PA

  • Internal Medicine Physician
  • New Smyrna Beach, FL
  • NPI 1053508283
  NPD (past)
• Volusia Therapy LLC

  • Physical Therapist
  • New Smyrna Beach, FL
  • NPI 1013187715
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467669366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 SHOREWOOD LN",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688385",
            "telephone_number": "386-478-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 STATE ROAD 44",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688339",
            "telephone_number": "386-427-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JANA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Counseling Services LLC
• Mohamed G Mohamed, MD
• Cynthia S Mohney, PAC
• Andres Montanez-Flores, M. D.
• Emily Louise Davis Moore, MS, RD, LD/N
• William Charles Morgan, L.N.
• Elizabeth Morrison
• Lucy Williams Morrison, LMT
• Kevin Moss, MD
• Mertalaine Mulatre, M.D.

• Physical Therapy Assistant in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.