Active NPI
Stephanie Jennings, PT, DPT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1124360235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5950 Canaan Woods Dr SW
Atlanta, GA 30331-8056 - Phone
- (404) 805-0274
- NPI assigned
- Mar 27, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | GA | Primary |
Addresses
Primary practice location
5950 Canaan Woods Dr SW
Atlanta, GA 30331-8056
Mailing address
5950 Canaan Woods Dr SW
Atlanta, GA 30331-8056
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1124360235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5950 CANAAN WOODS DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 CANAAN WOODS DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318056",
"telephone_number": "404-805-0274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "STEPHANIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.