Jessica Tallman, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017132 Issued in GA

Practice address

2347 Brookhurst Dr
Dunwoody, GA 30338-6631

Phone

(770) 715-7067

Fax

(404) 596-5433

NPI assigned

Jul 11, 2024

Last updated

Jul 11, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunshine Pediatric Therapy, LLC

  • Pediatric Physical Therapist
  • Dunwoody, GA
  • NPI 1114297751
  NPD

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1265279764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 BROOKHURST DR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386631",
            "telephone_number": "770-715-7067",
            "fax_number": "404-596-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 BROOKHURST DR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386631",
            "telephone_number": "770-715-7067",
            "fax_number": "404-596-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLMAN",
        "first_name": "JESSICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Takahashi, DPT
• Talbott Dunwoody
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• Sarah Sherrod Taliaferro, PT, DPT
• Lisa Welch Tallant, PSYD
• Kyriakos Tarasidis, MD
• Tascha Jenkins
• Alicia L Taylor, PHARM.D.
• Elizabeth Teel
• Teg Inc. (The Eye Gallery)

• Physical Therapist in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.