Active NPI
Jessica Ann Giles, RPT
- Physical Therapist
- Cumming, GA
National Provider Identifier
1205904273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006695
- Practice address
- 1565 Mountclaire Dr
Cumming, GA 30041-9525 - Phone
- (678) 513-7434
- Fax
- (678) 513-2192
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PT006695 | GA | Primary |
Addresses
Primary practice location
1565 Mountclaire Dr
Cumming, GA 30041-9525
Mailing address
1565 Mountclaire Dr
Cumming, GA 30041-9525
Phone (678) 513-7434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000859053E | Medicaid | GA |
Other names 1
- Jessica Ann Jenn
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006695 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giles Pediatric Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Cumming, GA
- NPI 1346317666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1205904273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 MOUNTCLAIRE DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300419525",
"telephone_number": "678-513-7434",
"fax_number": "678-513-2192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 MOUNTCLAIRE DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300419525",
"telephone_number": "678-513-7434",
"fax_number": "678-513-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILES",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT006695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000859053E",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "JENN",
"middle_name": "ANN",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.