Shana Joyelle Ford, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011761 Issued in GA

Practice address

3645 Marketplace Blvd
Ste 160
East Point, GA 30344-5747

Phone

(404) 344-2823

Fax

(404) 629-3737

NPI assigned

Aug 7, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1013393495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 HIGHWAY 34 E",
            "address_2": "STE 1300",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653186",
            "telephone_number": "404-931-5878",
            "fax_number": "770-254-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 MARKETPLACE BLVD",
            "address_2": "STE 160",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445747",
            "telephone_number": "404-344-2823",
            "fax_number": "404-629-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "SHANA",
        "middle_name": "JOYELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fleming Medical Center, Inc
• Flowing Rivers Medical Equipment LLC
• Jennifer Todaro Ford
• Lesley Ford, LPC
• Marsha Denise Ford, CNM
• Sawanarry Renee Forrest, FNP
• Kathryn Forsberg
• James Fortson, MD MBA MPH FACS
• Laresha Foster, M.A., L.M.S.W., CAMS
• Tyler Frasch, PHARMD

• Physical Therapist in East Point, GA
• Providers in East Point, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.