Individual provider Active NPI

Shyanne Rainelle Jones, PHYSICAL THERAPIST

  • Physical Therapist
  • Walker, LA
National Provider Identifier
1679899520
Registry record updated Apr 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06353 Issued in LA
Practice address
28977 Walker South Rd
Suite G
Walker, LA 70785-6049
Phone
(225) 271-8056
Fax
(225) 271-8057
NPI assigned
Apr 18, 2010
Last updated
Apr 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06353 LA Primary

Addresses

Primary practice location

28977 Walker South Rd
Suite G
Walker, LA 70785-6049

Mailing address

28977 Walker South Rd
Suite G
Walker, LA 70785-6049
Phone (225) 271-8056

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

LicenseStateTypeSpecialty
06353LAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1271548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271548800000",
    "number": "1679899520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28977 WALKER SOUTH RD",
            "address_2": "SUITE G",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707856049",
            "telephone_number": "225-271-8056",
            "fax_number": "225-271-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28977 WALKER SOUTH RD",
            "address_2": "SUITE G",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707856049",
            "telephone_number": "225-271-8056",
            "fax_number": "225-271-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHYANNE",
        "middle_name": "RAINELLE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-18",
        "last_updated": "2010-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.