Katina Jenkins Parks, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A3152 Issued in NC

Practice address

3501 Senior Village LN NW
Wilson, NC 27896-9618

Phone

(252) 206-1310

NPI assigned

Sep 28, 2017

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

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1770092132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SENIOR VILLAGE LN NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278969618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SENIOR VILLAGE LN NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278969618",
            "telephone_number": "252-206-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "KATINA",
        "middle_name": "JENKINS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": "A3152",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A3152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly H Parker, M.D.
• John Ashley Parker, M.D.
• Kayanna Parker
• Krystle Parker
• Michelle Parker, PHARMD, RPH
• Parkwood Village, LLC
• Thomas Pasquariello, PHARMD
• Monica Bharat Patel, MD
• Pathway House LLC
• Pathways Human Services of North Carolina, LLC (Access Family Services)

• Physical Therapy Assistant in Wilson, NC
• Providers in Wilson, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.