Active NPI
Mirline Jean Baptiste
- Physical Therapy Assistant
- Atlanta, GA
National Provider Identifier
1891945200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 006466-1
- Practice address
- 514 Lincoln Court Ave NE
Atlanta, GA 30329-1817 - Phone
- (347) 596-7982
- NPI assigned
- Sep 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA002506 | GA | |
| Physical Therapy Assistant | 225200000X | 006466-1 | NY | Primary |
Addresses
Primary practice location
514 Lincoln Court Ave NE
Atlanta, GA 30329-1817
Mailing address
514 Lincoln Court Ave NE
Atlanta, GA 30329-1817
Phone (347) 596-7982
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA002506 | GA | MD | Physical Therapy Assistant |
| 006466-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1891945200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 LINCOLN COURT AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303291817",
"telephone_number": "347-596-7982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 LINCOLN COURT AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303291817",
"telephone_number": "347-596-7982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN BAPTISTE",
"first_name": "MIRLINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-22",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA002506",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "006466-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.