Individual provider Active NPI

Jalonda Monique Hornes, PTA

  • Physical Therapy Assistant
  • Fort Myers, FL
National Provider Identifier
1487909958
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
21353 Issued in FL
Practice address
2149 Towles St
Fort Myers, FL 33916-4748
Phone
(239) 265-2227
NPI assigned
Jul 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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 21353 FL Primary

Addresses

Primary practice location

2149 Towles St
Fort Myers, FL 33916-4748

Mailing address

2149 Towles St
Fort Myers, FL 33916-4748
Phone (239) 265-2227

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
21353FLMDMilitary Health Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Years of SWFL, Inc. Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1487909958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 TOWLES ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339164748",
            "telephone_number": "239-265-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 TOWLES ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339164748",
            "telephone_number": "239-265-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNES",
        "first_name": "JALONDA",
        "middle_name": "MONIQUE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "21353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.