Jessica Dornak Meyer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2089787 Issued in TX

Practice address

825 W Fairwinds St
Hallettsville, TX 77964-3531

Phone

(361) 798-3268

NPI assigned

Jun 18, 2018

Last updated

Jun 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Leigh Dornak 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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1841784337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "ROCK ISLAND",
            "state": "TX",
            "postal_code": "774700014",
            "telephone_number": "979-541-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W FAIRWINDS ST",
            "city": "HALLETTSVILLE",
            "state": "TX",
            "postal_code": "779643531",
            "telephone_number": "361-798-3268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2518 Niles St",
            "address_purpose": "LOCATION",
            "city": "Rock Island",
            "state": "TX",
            "postal_code": "77470",
            "country_code": "US",
            "telephone_number": "979-541-7519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Austin Rd",
            "address_purpose": "LOCATION",
            "city": "Eagle Lake",
            "state": "TX",
            "postal_code": "77434",
            "country_code": "US",
            "telephone_number": "979-243-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JESSICA",
        "middle_name": "DORNAK",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2089787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DORNAK",
            "middle_name": "LEIGH",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mandie Lozano
• Yvette Massey, LPC
• Kelly Matthew-Gil, DPM
• Terri McGee
• Tristan Meisetschleager, M.S. CCC - SLP
• Pamela New, M.D.
• Kacie Ovard
• Emily Parkinson
• Lauren Pasak, MA CCC-SLP
• Ashlyn Ann Patek

• Physical Therapy Assistant in Hallettsville, TX
• Providers in Hallettsville, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.