Jayla Bethany Cornett, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A09949 Issued in LA

Practice address

17709 Old Jefferson Hwy Ste a
Prairieville, LA 70769-3977

Phone

(225) 677-8400

Fax

(225) 977-8484

NPI assigned

May 31, 2018

Last updated

May 31, 2018By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Therapy Services, L.L.C.

  dba Advantage Therapy

  • Physical Therapist
  • Prairieville, LA
  • NPI 1356400345
  NPD (past)

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1972095586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17709 OLD JEFFERSON HWY STE A",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693977",
            "telephone_number": "225-677-8400",
            "fax_number": "225-977-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17709 OLD JEFFERSON HWY STE A",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693977",
            "telephone_number": "225-677-8400",
            "fax_number": "225-977-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "JAYLA",
        "middle_name": "BETHANY",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A09949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356400345",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Y Torrence King (Diamond In The Rough Distributors)
• Laura Conrad
• Brooke Constant, PT, DPT
• Core Chiropractic LLC
• Cornerstone Physical Therapy, Inc.
• Elizabeth Courville-Raiford
• Jeanette Rene Courville, RD
• Semeko Cox, LPC, NCC
• Rebecca Jean Cranford, FNP-C
• Danielle Crockett

• Physical Therapy Assistant in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Physical Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.