Individual provider Active NPI

Jasmine Johnson, DPT

  • Physical Therapist
  • Stockbridge, GA
National Provider Identifier
1063189942
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015563 Issued in GA
Practice address
1240 Eagles Landing Pkwy Ste 340
Stockbridge, GA 30281-5106
Phone
(678) 216-1838
Fax
(678) 216-1839
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015563 GA Primary

Addresses

Primary practice location

1240 Eagles Landing Pkwy Ste 340
Stockbridge, GA 30281-5106

Mailing address

3100 Interstate North Cir SE Ste 500
Atlanta, GA 30339-2296
Phone (770) 953-6929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909001548 GA Practitioner - Physical Therapist in Private Practice 1052717485 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians

Practice addresses (Care Compare)

1240 Eagles Landing Pkwy
Suite 300
Stockbridge, GA 30281-5173
Phone (770) 953-6929

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015563GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoatlanta, LLC CurrentSince Apr 29, 2024 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Emory Physical Therapy, LLC CurrentSince Nov 10, 2022 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Orthoatlanta, LLC CurrentSince Apr 29, 2024 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Nov 10, 2022 Accepting new patients
Orthoatlanta, LLC Current Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 20, 2022 Accepting new patients
Piedmont Orthopedics, LLC CurrentSince Apr 29, 2024 Accepting new patients
Orthoatlanta, LLC Past Accepting new patients
Orthoatlanta, LLC PastSince May 4, 2025 Accepting new patients

Locations

21 Ortho Ln
Fl 1
Atlanta, GA 30329

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

3100 Interstate North Cir SE
Ste 500
Atlanta, GA 30339
Phone (770) 953-6929

1867 Harvard Ave
College Park, GA 30337
Phone (404) 635-6021

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

1240 Eagles Landing Pkwy
Ste 340
Stockbridge, GA 30281
Phone (678) 216-1838

1240 Eagles Landing Pkwy
Ste 300
Stockbridge, GA 30281
Phone (770) 506-4350

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1063189942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 INTERSTATE NORTH CIR SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392296",
            "telephone_number": "770-953-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 EAGLES LANDING PKWY STE 340",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815106",
            "telephone_number": "678-216-1838",
            "fax_number": "678-216-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JASMINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.