Andra Kay Temples, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT17330 Issued in FL

Practice address

4966 Highway 90
Marianna, FL 32446-6814

Phone

(850) 526-4766

Fax

(850) 526-4866

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1982635686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 MAGNOLIA BLOSSOM LN",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324466394",
            "telephone_number": "850-482-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 HIGHWAY 90",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324466814",
            "telephone_number": "850-526-4766",
            "fax_number": "850-526-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLES",
        "first_name": "ANDRA",
        "middle_name": "KAY",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886499300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tallahassee Orthopedic Clinic III, PL (Tallahassee Orthopedic Clinic)
• L Tan, M.D.
• Heather Lynn Tatum, ARNP
• Justin Taylor
• Marcellus O Taylor, PH. D.
• Lee J Temples
• Alyssa Terry, MS, CF-SLP
• Vicki Parish Tew, ARNP
• The Doctors' Office, P.a.
• The Watts Co of Marianna Inc (Waco Drugs and Gifts)

• Physical Therapist in Marianna, FL
• Providers in Marianna, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.