Cheryl Renee McCarty, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4810 Issued in TN

Practice address

269 E South Street
Jackson, OH 45640

Phone

(740) 577-6090

NPI assigned

Oct 18, 2010

Last updated

Oct 18, 2010By 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 2

Addresses

Other names 1

• Ms. Cheryl Renee Montgomery Former name

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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1710297387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 E SOUTH ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401627",
            "telephone_number": "740-577-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 E SOUTH STREET",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "45640",
            "telephone_number": "740-577-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "CHERYL",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "4810",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "6294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "MONTGOMERY",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "LPTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Marcum, LPN
• Cory D Markin
• Jennifer Lynn Marks
• Anedeam Snow Martin, LCDC III
• Nicole Maxey, QMHS
• Tiffany McCarty, LSW
• Mitchell M McCorkle, DPT
• Regina McDaniel, LPN
• Abigail Meg McGee, PCC-S
• Austin McGhee

• Physical Therapy Assistant in Jackson, OH
• Providers in Jackson, OH by specialty
• Physical Therapy Assistant in Ohio

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