Individual provider Active NPI

Jill Suzanne Twyman, DPT

  • Specialist
  • Hiram, GA
National Provider Identifier
1205917739
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT007679 Issued in GA
Practice address
5077 Jimmy Lee Smith Pkwy.
Suite 119
Hiram, GA 30141
Phone
(770) 222-6621
Fax
(770) 222-8845
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT007679 GA Primary

Addresses

Primary practice location

5077 Jimmy Lee Smith Pkwy.
Suite 119
Hiram, GA 30141

Mailing address

5077 Jimmy Lee Smith Pkwy.
Suite 119
Hiram, GA 30141
Phone (770) 222-6621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000243 GA Practitioner - Physical Therapist in Private Practice 2567425135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoration Physical Therapy, LLC.Group PAC ID 9830129972, 2 clinicians

Practice addresses (Care Compare)

3961 Floyd Rd
Suite 200
Austell, GA 30106-8536
Phone (770) 434-5111

5077 Jimmy Lee Smith Pkwy
Ste119
Hiram, GA 30141-2733
Phone (770) 222-6621

5077 Jimmy Lee Smith Pkwy
Suite 119
Hiram, GA 30141-2788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Physical Therapy, LLC. CurrentSince Jun 1, 2005 Accepting new patients
Village Podiatry Group LLC Past Accepting new patients
Village Podiatry Group, L.L.C. PastSince Jun 1, 2003 Accepting new patients

Locations

3961 Floyd Rd
Ste 200
Austell, GA 30106
Phone (770) 434-5111

5077 Jimmy Lee Smith Pkwy
Ste 119
Hiram, GA 30141
Phone (770) 222-6621

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205917739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5077 JIMMY LEE SMITH PKWY.",
            "address_2": "SUITE 119",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "30141",
            "telephone_number": "770-222-6621",
            "fax_number": "770-222-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5077 JIMMY LEE SMITH PKWY.",
            "address_2": "SUITE 119",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "30141",
            "telephone_number": "770-222-6621",
            "fax_number": "770-222-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWYMAN",
        "first_name": "JILL",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "PT007679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.