Jennifer Maureen Carawan, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306602421 Issued in VA

Practice address

115 N Jefferson Ave
Eatonton, GA 31024-1019

Phone

(678) 852-7474

NPI assigned

Jan 22, 2008

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

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.

• Lake Country Physical Therapy LLC

  • Physical Therapist
  • Eatonton, GA
  • NPI 1548601909
  NPD

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1104003151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N WASHINGTON AVE",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310241141",
            "telephone_number": "678-852-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N JEFFERSON AVE",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310241019",
            "telephone_number": "678-852-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAWAN",
        "first_name": "JENNIFER",
        "middle_name": "MAUREEN",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darshell Williams Brown
• Thomas L Brown, DDS
• Marjorie Vining Butler, D.C.
• Jenifer Byrd, FNP
• Beverly Jean Cadwallader, PA-C
• Cardiac Disease Specialists, PC
• Cardiology Care Clinic, LLC
• Cardiology Care Clinic, LLC
• Caring Hearts Home Healthcare, LLC
• Timothy Charles Castellaw, PA-C

• Physical Therapy Assistant in Eatonton, GA
• Providers in Eatonton, 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 1, 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.