Individual provider Active NPI

Jennifer Anne Dufrene, PT

  • Physical Therapist
  • Jasper, GA
National Provider Identifier
1154636439
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009965 Issued in GA
Practice address
371 Noah Drive
Suite 102
Jasper, GA 30143-8707
Phone
(706) 253-6287
Fax
(888) 557-0938
NPI assigned
Aug 11, 2010
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 PT009965 GA Primary

Addresses

Primary practice location

371 Noah Drive
Suite 102
Jasper, GA 30143-8707

Mailing address

371 Noah Drive
Suite 102
Jasper, GA 30143-8707
Phone (706) 253-6287

Other practice location 1

371 Noah Dr
Suite 102
Jasper, GA 30143-8708
Phone (706) 253-6287

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000948 GA Practitioner - Physical Therapist in Private Practice 9638359409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Beginning Therapeutic ServicesGroup PAC ID 8123065406, 9 clinicians

Practice addresses (Care Compare)

371 Noah Dr
Jasper, GA 30143-8707
Phone (706) 253-6287

76 Recreation Lane
Jasper, GA 30143
Phone (678) 764-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT009965GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Rehabilitation & Wellness LLC Physical Therapist CurrentSince Aug 9, 2020 Accepting new patients

Locations

2103 Reedale Ave
Augusta, GA 30906
Phone (706) 414-5058

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1154636439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 NOAH DRIVE",
            "address_2": "SUITE 102",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438707",
            "telephone_number": "706-253-6287",
            "fax_number": "888-557-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 NOAH DRIVE",
            "address_2": "SUITE 102",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438707",
            "telephone_number": "706-253-6287",
            "fax_number": "888-557-0938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 Noah Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "GA",
            "postal_code": "301438708",
            "country_code": "US",
            "telephone_number": "706-253-6287",
            "fax_number": "706-253-6289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFRENE",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.