Individual provider Active NPI

Joanna M Fechter, PT

  • Physical Therapist
  • Tallahassee, FL
National Provider Identifier
1578835195
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6421 Issued in FL
Practice address
1818 Miccosukee Commons Dr
Suite #3
Tallahassee, FL 32308-6400
Phone
(850) 656-3163
NPI assigned
Jan 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6421 FL Primary

Addresses

Primary practice location

1818 Miccosukee Commons Dr
Suite #3
Tallahassee, FL 32308-6400

Mailing address

5040 Pimlico Dr
Tallahassee, FL 32309-2357
Phone (850) 668-0731

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1578835195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 PIMLICO DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092357",
            "telephone_number": "850-668-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 MICCOSUKEE COMMONS DR",
            "address_2": "SUITE #3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086400",
            "telephone_number": "850-656-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECHTER",
        "first_name": "JOANNA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT6421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.