Jai-Landa Pratt

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5695 Issued in MD

Practice address

23511 Hollywood Rd
Leonardtown, MD 20650-5833

Phone

(240) 577-6433

NPI assigned

Aug 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1609558089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 ELOISE LN",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23511 HOLLYWOOD RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206505833",
            "telephone_number": "240-577-6433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223023200",
            "country_code": "US",
            "telephone_number": "703-684-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "JAI-LANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "CP024362A",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "CP022914A",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea R Phillips, NP
• Michael Andrew Pipkin, PT, DPT
• Lisa Erin Polko, MD
• Mary Frances Pontorno, OT/R
• Pradeep Simlote MD PC
• Peter Prentice
• Tracy Leigh Pritchard, MS, CNS, LDN
• Proflex Physical Therapy of Maryland, LLC
• Project Chesapeake LLC
• Project Chesapeake LLC

• Physical Therapy Assistant in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.