Active NPI
Jennifer A Nadkarni
- Physical Therapy Assistant
- Augusta, GA
National Provider Identifier
1073983391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA000812
- Practice address
- 1321 Interstate Pkwy
Augusta, GA 30909-5626 - Phone
- (706) 945-0810
- Fax
- (706) 945-0821
- NPI assigned
- Sep 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA000812 | GA | Primary |
| Physical Therapy Assistant | 225200000X | 820 | SC |
Addresses
Primary practice location
1321 Interstate Pkwy
Augusta, GA 30909-5626
Mailing address
PO Box 5545
Augusta, GA 30916-5545
Phone (803) 441-0025
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 820 | SC | MD | Pediatric Dentist |
| PTA000812 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1073983391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5545",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309165545",
"telephone_number": "803-441-0025",
"fax_number": "803-441-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 INTERSTATE PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309095626",
"telephone_number": "706-945-0810",
"fax_number": "706-945-0821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADKARNI",
"first_name": "JENNIFER",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA000812",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "820",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.