Active NPI
Tasha Renee Nunnelley
- Physical Therapy Assistant
- Anniston, AL
National Provider Identifier
1508545484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA7791
- Practice address
- 2300 Coleman Rd
Anniston, AL 36207-6824 - Phone
- (256) 831-5730
- NPI assigned
- Jul 17, 2023
- 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 | PTA7791 | AL | Primary |
Addresses
Primary practice location
2300 Coleman Rd
Anniston, AL 36207-6824
Mailing address
355 County Road 137
Delta, AL 36258-8825
Phone (256) 221-7442
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 |
|---|---|---|---|
| PTA7791 | AL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1508545484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 COUNTY ROAD 137",
"city": "DELTA",
"state": "AL",
"postal_code": "362588825",
"telephone_number": "256-221-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 COLEMAN RD",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362076824",
"telephone_number": "256-831-5730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNNELLEY",
"first_name": "TASHA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "PTA7791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anniston, AL
- North East Alabama Regional Medical Center
- Northeast Alabama Kidney Clinic, Inc.
- Northeast Alabama Kidney Clinic, Inc.
- Northeast Alabama Pathology, LLC
- Northeast Alabama Prosthetics & Orthotics, LLC
- Nuri Counseling Collective LLC
- Nursing Home Associates of Jacksonville, LLC
- Nuvo Health, LLC
- John I Nwogu, M.D.
- Jessica O'Dell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.