Individual provider Active NPI

Jamie Elizabeth Prachar, PTA

  • Physical Therapy Assistant
  • Philadelphia, PA
National Provider Identifier
1831477561
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE009068 Issued in PA
Practice address
8010 Germantown Ave
Apt a
Philadelphia, PA 19118-3441
Phone
(610) 914-4179
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE009068 PA Primary

Addresses

Primary practice location

8010 Germantown Ave
Apt a
Philadelphia, PA 19118-3441

Mailing address

8010 Germantown Ave
Apt a
Philadelphia, PA 19118-3441
Phone (610) 914-4179

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
TE009068PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1831477561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 GERMANTOWN AVE",
            "address_2": "APT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183441",
            "telephone_number": "610-914-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 GERMANTOWN AVE",
            "address_2": "APT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183441",
            "telephone_number": "610-914-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRACHAR",
        "first_name": "JAMIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE009068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.