Pineview Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT001243 Issued in GA

Legal business name

PINEVIEW PHYSICAL THERAPY

Practice address

301 Pineview Dr
Waycross, GA 31501

Phone

(912) 285-2361

Fax

(912) 285-0571

NPI assigned

Jun 5, 2008

Last updated

Jun 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Audrey D Jernigan, PTNPI 1245363688

Title

President

Phone

(912) 285-2361

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audrey D. Jernigan

  • Physical Therapist
  • Waycross, GA
  • NPI 1245363688
  Authorized official Same address or phone

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1215196258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PINEVIEW DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015229",
            "telephone_number": "912-285-2361",
            "fax_number": "912-285-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PINEVIEW DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "31501",
            "telephone_number": "912-285-2361",
            "fax_number": "912-285-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVIEW PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-285-2361",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT001243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Wrobel MD PC
• Amanda Gayle Petty, APRN
• Pharmacy Services Inc. (Larrys Pharmacy)
• Kari L Piestrak, HEARING AID DISPENSE
• Robert Sumner Pilcher, M.D.,PHD
• Anna Marie Pittard
• Barbara D Pittman, FNP-C
• Porter Healthcare Solutions LLC
• Shelonda A Porter, M.ED., CCC-SLP
• Deanna Holland Powell, CRNA

• Physical Therapy Clinic/Center in Waycross, GA
• Providers in Waycross, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.