Dillon Jennings

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003676 Issued in GA

Practice address

1004 Bankhead Hwy
Suite A5
Carrollton, GA 30117-1852

Phone

(770) 834-5609

NPI assigned

Oct 20, 2016

Sex

Male

Sole proprietor

Yes

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)

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 and National Provider Directory roles.

• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • Carrollton, GA
  • NPI 1376574764
  NPD (past)
• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • McDonough, GA
  • NPI 1659302966
  NPD (past)

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1023569456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10608 SERENBE LN",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302682287",
            "telephone_number": "405-570-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 BANKHEAD HWY",
            "address_2": "SUITE A5",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301171852",
            "telephone_number": "770-834-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "DILLON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilia Grace Janney, NP
• Jill S Jarrell, M.A., CCC-A
• Crystal Jeffers, M.ED., CCC-SLP
• Joseph Jellicorse, M.D.
• Gerard Jenkins
• Shondalea M Jensen, LAPC
• Danielle Elise Jett Rutherford, CCC-SLP
• Christopher R Jewell, M.D.
• Christy C Jewell, FNP-C
• Rajat Jhanjee, MD

• Physical Therapy Assistant in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.