Jennifer L Stocks, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012390 Issued in GA

Practice address

500 Nathan Dean Blvd Ste 108
Dallas, GA 30157-4912

Phone

(678) 402-7770

Fax

(678) 402-6947

NPI assigned

Jun 20, 2016

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accel Physical Therapy IncGroup PAC ID 8921109067, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Accel Physical Therapy Inc

  • Physical Therapist
  • Villa Rica, GA
  • NPI 1184827495

  GA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Advance Rehabilitation and Consulting

  • Physical Therapist
  • Rome, GA
  • NPI 1174518682
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1194175141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MIRROR LAKE BLVD STE S",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802126",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NATHAN DEAN BLVD STE 108",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301574912",
            "telephone_number": "678-402-7770",
            "fax_number": "678-402-6947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Mirror Lake Blvd Ste S",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301802126",
            "country_code": "US",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2983 Chapel Hill Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301351767",
            "country_code": "US",
            "telephone_number": "770-947-8177",
            "fax_number": "770-947-8377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Cunningham Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301172818",
            "country_code": "US",
            "telephone_number": "678-664-1467",
            "fax_number": "678-664-1483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT012390",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003185761",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dariea Stewart
• Glenda Stewart, PT
• Olivia Stewart
• Hope H Still, DDS
• Hunter Ellis Stinson, DMD
• Chad Stough, PA-C
• Rachel Stratton, PTA
• Stretch PT and Wellness
• Olivette Strickland
• Christine Michelle Strong, FNP-BC

• All providers in Dallas, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.