Jennifer Leigh Scibetta

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA000534 Issued in GA

Practice address

2576 Lawrenceville Suwanee Rd Ste 101
Suwanee, GA 30024-7291

Phone

(770) 962-4043

NPI assigned

Mar 26, 2018

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)

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.

• Primacare Rehabilitation P.C.

  • Physical Therapy Clinic/Center
  • Suwanee, GA
  • NPI 1154408615
  NPD (past)

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1043715774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 BROCKENHURST DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2576 LAWRENCEVILLE SUWANEE RD STE 101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247291",
            "telephone_number": "770-962-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIBETTA",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA000534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Schmidt, O.T.
• Anja Schoeke, PSY.D.
• Linda D Schultheiss, PT
• Holly B Schuster
• Ryan M Schwendiman, D.M.D., M.B.A.
• Alissia Jonelle Scott, RBT
• Linda Yeager Scott, LPC
• Shequanta Myeshia Scott
• Dave Jason Seecharan, M.D.
• Ana R. Segarra-Brechtel, MD

• Physical Therapy Assistant in Suwanee, GA
• Providers in Suwanee, 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 Mar 26, 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.