Keisha Dionne Engram, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 20938 Issued in FL

Practice address

1422 San Marco Blvd
Jacksonville, FL 32207-8536

Phone

(904) 398-4133

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1861683757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 REED ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083720",
            "telephone_number": "904-768-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 SAN MARCO BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078536",
            "telephone_number": "904-398-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGRAM",
        "first_name": "KEISHA",
        "middle_name": "DIONNE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 20938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole English, MS
• Stephanie English, COTA
• Stephen Craig English, DMD
• Stephen William English, M.D., M.B.A.
• Katherine Marie Englund, APRN, WHNP-BC
• Enhanced Lifestyle Counseling, LLC
• Enhanced Universal Care
• Enitan Counseling and Coaching Services
• Enlightened Therapies
• Elizabeth C Ennis, PT, PCS

• Physical Therapy Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.