Active NPI
Jason Thelen
- Physical Therapist
- Bethlehem, GA
National Provider Identifier
1033693668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013660
- Practice address
- 916 Loganville Hwy Ste 1130
Bethlehem, GA 30620-2153 - Phone
- (770) 867-7463
- NPI assigned
- Sep 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013660 | GA | Primary |
Addresses
Primary practice location
916 Loganville Hwy Ste 1130
Bethlehem, GA 30620-2153
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
150 Athens Hwy
Loganville, GA 30052-2277
Phone (770) 554-2307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| University Health Center, University of Ga Health Center Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Loganville, GA
- NPI 1427134816
-
- Pharmacist
- Athens, GA
- NPI 1558435784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1033693668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 LOGANVILLE HWY STE 1130",
"city": "BETHLEHEM",
"state": "GA",
"postal_code": "306202153",
"telephone_number": "770-867-7463"
}
],
"practiceLocations": [
{
"address_1": "150 Athens Hwy",
"address_purpose": "LOCATION",
"city": "Loganville",
"state": "GA",
"postal_code": "300522277",
"country_code": "US",
"telephone_number": "770-554-2307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THELEN",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-19",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT013660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.