Tracy Lee Jette, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA11035 Issued in FL

Practice address

5836 29TH Ave N
Saint Petersburg, FL 33710-3322

Phone

(727) 687-1096

NPI assigned

Aug 23, 2012

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

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": "1345680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1477801496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 29TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103322",
            "telephone_number": "727-687-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5836 29TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337103322",
            "telephone_number": "727-687-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETTE",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA11035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Anne Jervis, MS, GCG
• Abigail Marie Jessup, RN, BSN, CDCES
• Jade Jessurun, LCSW
• Clint Jester
• Neel Manji Jethwa, M.D.
• Britton Jewell, D.O.
• Sarah E Jewell, M.S. SLP
• JHL First Care
• Victoria Jiencke, LMHC
• Solimar Jimenez-Diaz, MD

• Physical Therapy Assistant in Saint Petersburg, FL
• Providers in Saint Petersburg, 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 Aug 23, 2012; 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.