Jacki Landry, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1293 Issued in AR

Practice address

321 Section Line Rd
Suite E
Hot Springs, AR 71913-6482

Phone

(501) 520-0504

Fax

(501) 520-0245

NPI assigned

Jan 6, 2011

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

Other identifiers 1

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.

• Ouachita Physical Therapy LLC

  • Physical Therapist
  • Hot Springs, AR
  • NPI 1467136820
  NPD (past)
• Steadman'S Physical Therapy

  • Physical Therapist
  • Hot Springs, AR
  • NPI 1528397833
  NPD (past)

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391212800000",
    "number": "1578867487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SECTION LINE RD",
            "address_2": "SUITE E",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136482",
            "telephone_number": "501-520-0504",
            "fax_number": "501-520-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SECTION LINE RD",
            "address_2": "SUITE E",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136482",
            "telephone_number": "501-520-0504",
            "fax_number": "501-520-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "JACKI",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2014-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "1293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "1293",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiara Mary Lamb, MHPP
• Donald L Lambert, RD
• Joshua Lambert, MD
• Nathan Lambert, MD
• Rebecca Lambert
• Charles S Lane III, MD
• Kaylie Lane
• Sherrie Ann Laney, LPC
• Wendy Carol Langston
• Jacqueline A. Laper, APRN

• Physical Therapy Assistant in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2014; 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.