Lashayna D Patterson, LPTA
Individual provider Active NPI Physical Therapy Assistant · Marshallville, GA
NPI 1194697409 · NPPES record last updated Sep 18, 2025
Key facts
- NPI
- 1194697409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA005137 (GA)
- Practice address
- 777 Nursing Home Rd
Marshallville, GA 31057-3715 - Phone
- (478) 967-2223
- NPI assigned
- Sep 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA005137 | GA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA005137 | GA | Yes |
Addresses
Primary practice location
777 Nursing Home Rd
Marshallville, GA 31057-3715
Mailing address
777 Nursing Home Rd
Marshallville, GA 31057-3715
Other providers in Marshallville, GA
- John Richard Crowe
- Destined Revisions, LLC
- Shareeka Harris
- L.E. Garrett Co., Inc.
- Oaks Nursing Home Inc
- Dana Riles
All providers in Marshallville, GA · Physical Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.