Jessica Grace Pybus, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA5564 Issued in AL

Practice address

5500 Chamblee Dunwoody Rd Ste 5B
Dunwoody, GA 30338-4162

Phone

(770) 396-3003

NPI assigned

Dec 30, 2010

Last updated

Sep 19, 2022By the provider in NPPES

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

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.

• Independent Physical Therapy of Georgia, LLC

  • Physical Therapy Clinic/Center
  • Dunwoody, GA
  • NPI 1376956003
  NPD (past)
• Independent Physical Therapy of Georgia, LLC

  dba BenchMark Physical Therapy

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1780636068
  NPD (past)

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1174827422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 TELLURIDE LN",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "363507037",
            "telephone_number": "334-791-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 CHAMBLEE DUNWOODY RD STE 5B",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384162",
            "telephone_number": "770-396-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYBUS",
        "first_name": "JESSICA",
        "middle_name": "GRACE",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA5564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets Inc (Publix Pharmacy #0765)
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• Publix Super Markets, Inc (Publix Pharmacy #1758)
• Zahra Punjani, DMD
• Morgan Putnam, DPT
• Qinxin Qin, PSYD
• Mustafa H Quraishi, M.D.
• Supriya Ramkishore
• Atiya Kashif Rana, MD
• Samra Rashid

• Physical Therapy Assistant in Dunwoody, GA
• Providers in Dunwoody, 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 Sep 19, 2022; 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.