Active NPI
Jamie Suzanne Foust
- Physical Therapy Assistant
- West Memphis, AR
National Provider Identifier
1659556090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 1692
- Practice address
- 413 W Tyler Ave
West Memphis, AR 72301-4149 - Phone
- (870) 733-1200
- Fax
- (870) 732-3269
- NPI assigned
- Jan 3, 2008
- Last updated
- Mar 3, 2009
- 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 | PTA 1692 | AR | Primary |
Addresses
Primary practice location
413 W Tyler Ave
West Memphis, AR 72301-4149
Mailing address
413 W Tyler Ave
West Memphis, AR 72301-4149
Phone (870) 733-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145523721 | Medicaid | AR |
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 |
|---|---|---|---|
| PTA 1692 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascent Acquisitions Corp-PSC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1659556090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 W TYLER AVE",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723014149",
"telephone_number": "870-733-1200",
"fax_number": "870-732-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 W TYLER AVE",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723014149",
"telephone_number": "870-733-1200",
"fax_number": "870-732-3269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUST",
"first_name": "JAMIE",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "PTA 1692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145523721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.