Tsianinia Pruitt

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA7839 Issued in AL

Practice address

28235 Al Highway 53
Ardmore, AL 35739-8703

Phone

(256) 943-1426

Fax

(256) 943-1430

NPI assigned

Dec 6, 2021

Last updated

Dec 6, 2021By the provider in NPPES

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

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": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1619635760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28235 AL HIGHWAY 53",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "357398703",
            "telephone_number": "256-943-1426",
            "fax_number": "256-943-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "TSIANINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA7839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P4 Physical Therapy Limited Partnership
• Payless at Fred's Inc (Payless at Freds)
• Payless Pharmacy
• Payless Pharmacy
• Premier Legacy Health, LLC
• Reclaimed Life Therapy, Counseling, Consulting, Coaching, PLLC (Reclaimed Life Therapy)
• Jessica Rice, FNP-C
• Rebecca Elaine Rice
• Taylor Made IV Enterprises Inc
• Malcolm Taylor III

• Physical Therapy Assistant in Ardmore, AL
• Providers in Ardmore, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.