Jennifer Bailey, PHYSICAL THERAPISTJE

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006126 Issued in GA

Practice address

423 Twin Lakes Dr
Villa Rica, GA 30180-5505

Phone

(770) 865-3484

NPI assigned

May 5, 2020

Last updated

May 5, 2020By 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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• RWW Senior Living Outpatient Rehab Services, LLC

  dba Adoration Outpatient Therapy

  • Physical Therapist
  • Carrollton, GA
  • NPI 1194545053
  Medicare reassignment NPD
• RWW Senior Living Outpatient Rehab Services, LLC

  • Physical Therapist
  • Sarasota, FL
  • NPI 1619833803
  NPD

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1003437682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 TWIN LAKES DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805505",
            "telephone_number": "770-865-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 TWIN LAKES DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805505",
            "telephone_number": "770-865-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JENNIFER",
        "credential": "PHYSICAL THERAPISTJE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atrianon, LLC
• Edwidge Azor-Antoine
• B Positive Mobile Phlebotomy LLC
• Elizabeth Grace Babcock, PT, DPT
• George W Bailey, M.D.
• Erika Ballard
• Bankhead Chiropractic
• Golden Barnett III, M.D.
• John T Bassett V, PT
• Brittany A Bates, REGISTERED NURSE

• Physical Therapist in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.