Jasmine C Williams, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT013966 Issued in GA

Practice address

2300 Liam Ave Ste 103
Dacula, GA 30019-2265

Phone

(470) 294-0052

Fax

(470) 294-0053

NPI assigned

Jun 10, 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

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 and National Provider Directory roles.

• Independent Physical Therapy of Georgia, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1780636068
  Medicare reassignment NPD
• Independent Physical Therapy of Georgia, LLC

  • Occupational Therapist
  • Gainesville, GA
  • NPI 1306013941

  Orthopedic

  NPD
• Northeast Georgia Rehabilitation Center,Inc

  • Physical Therapy Clinic/Center
  • Royston, GA
  • NPI 1821008087
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1023677580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4754 MARTIN RD STE 200",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423507",
            "telephone_number": "770-967-4377",
            "fax_number": "770-967-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LIAM AVE STE 103",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192265",
            "telephone_number": "470-294-0052",
            "fax_number": "470-294-0053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4754 Martin Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Flowery Branch",
            "state": "GA",
            "postal_code": "305423507",
            "country_code": "US",
            "telephone_number": "770-967-4377",
            "fax_number": "770-967-8077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASMINE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT013966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison West
• Sheena Ashley Whitmire, PTA
• Lisa Wiggins, REGISTERED DIETITIAN
• Asiah Lavonne Wilborn
• Hermance Williams, REGISTERED NURSE
• Yvonne Marie Willis-Bendolph
• Desheal Winfrey, RN
• Women'S Imaging Specialists - Hamilton Mill, LLC
• Constance Elaine Wooden-Smith, LCSW
• Kim Michele Wyrwa, PTA

• Orthopedic Physical Therapist in Dacula, GA
• Providers in Dacula, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.