Glinda Whittaker, LPTA, LMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA25146 Issued in FL

Practice address

4230 Lafayette St Ste C
Marianna, FL 32446-8231

Phone

(850) 526-1093

NPI assigned

Jan 30, 2015

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jackson County Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Marianna, FL
  • NPI 1649311507
  NPD (past)

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1922498799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17352 MAIN ST N",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241763",
            "telephone_number": "850-674-7639",
            "fax_number": "850-674-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 LAFAYETTE ST STE C",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324468231",
            "telephone_number": "850-526-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "GLINDA",
        "credential": "LPTA, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA25146",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA30601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wensi Natasha West, L.M.T.
• Ashley B. Wester, A.R.N.P
• Hanna Donofro Wheetley, OTR/L
• Pamela Tripp White
• Jantzen Wayne Whitehead, MS
• William Peacock
• Jason Williams
• Jennifer B Wood, APRN
• Jacques N Worlds, MSW
• Philip Yoder, ARNP

• Physical Therapy Assistant in Marianna, FL
• Providers in Marianna, 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 Jan 30, 2015; 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.