Jena Cassidie Parris, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2032522 Issued in TX

Practice address

1 Charleston CT
Mansfield, TX 76063-5173

Phone

(817) 925-1005

NPI assigned

Sep 30, 2019

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 names 1

• Jena Cunningham 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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1982245171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHARLESTON CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635173",
            "telephone_number": "817-925-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHARLESTON CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635173",
            "telephone_number": "817-925-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRIS",
        "first_name": "JENA",
        "middle_name": "CASSIDIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "2032522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENA",
            "last_name": "CUNNINGHAM",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ankit R Parikh, ARNP
• Sherri Leigh Park, LPC-A
• Bailey Parker-Hutto
• Meredith Parker, LPC, LCPC
• Diaz'Ajya Parks
• Partners in Therapy LLC
• Palina Patapau
• Meghana D Patel-Bhakta, PHARMD
• Apurva Dineshbhai Patel, M.D.
• Darshan Patel, PT, DPT

• Physical Medicine & Rehabilitation Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.