Raynal Jeremy Washington

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

2920 Shalako Dr Apt 1806
Fort Worth, TX 76116-9620

Phone

(817) 291-7912

NPI assigned

Jan 23, 2023

Sex

Male

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

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1649985888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 SHALAKO DR APT 1806",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761169620",
            "telephone_number": "817-291-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 SHALAKO DR APT 1806",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761169620",
            "telephone_number": "817-291-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "RAYNAL",
        "middle_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica La'Nelle Washington
• Jmarkus Washington
• Karnesha Washington, RD, LD
• Kimberly Latoya Washington, M.D.
• Princess Washington
• Sheba Jory Washington, PHARM D
• Yolanda Washington
• Ryan Wasilewski, DC
• Jacob O Wasonga, PH.D, LMFT
• Brian David Wasson, M.D.

• Physical Therapy Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.