Active NPI
Janet Condle, PTA
- Physical Therapy Assistant
- Memphis, TN
National Provider Identifier
1649284605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2664
- Practice address
- 6286 Briarcrest Ave
Suite 110
Memphis, TN 38120-4023 - Phone
- (901) 259-1600
- Fax
- (901) 259-2785
- NPI assigned
- Jul 27, 2006
- 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 | 2664 | TN | Primary |
Addresses
Primary practice location
6286 Briarcrest Ave
Suite 110
Memphis, TN 38120-4023
Mailing address
PO Box 8888
Belfast, ME 04915-8888
Phone (901) 259-4260
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 |
|---|---|---|---|
| 2664 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group PC | Past | Accepting new patients | |
| MSK Group, PC | Physical Therapy Assistant | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Southaven, MS
- NPI 1912303447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1649284605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8888",
"city": "BELFAST",
"state": "ME",
"postal_code": "049158888",
"telephone_number": "901-259-4260",
"fax_number": "901-259-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6286 BRIARCREST AVE",
"address_2": "SUITE 110",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204023",
"telephone_number": "901-259-1600",
"fax_number": "901-259-2785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDLE",
"first_name": "JANET",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "2664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.