Jennifer Vanharte, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA001870 Issued in GA

Practice address

4700 Nelson Brogdon Blvd
Suite 250
Sugar Hill, GA 30518-5400

Phone

(770) 271-3188

NPI assigned

Nov 27, 2006

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

Other identifiers 1

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 and National Provider Directory roles.

• Physiotherapy Associates

  • Physical Therapist
  • Lithia Springs, GA
  • NPI 1306905765
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285700880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302370518",
            "telephone_number": "770-631-8277",
            "fax_number": "770-631-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 NELSON BROGDON BLVD",
            "address_2": "SUITE 250",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305185400",
            "telephone_number": "770-271-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHARTE",
        "first_name": "JENNIFER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA001870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISC NUMBER",
            "identifier": "PTA001870",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Ann Thomas, DDS
• TLC of Georgia LLC
• Tri County Internal Medicine, PC
• Minh Luong Trinh
• Vanessa Turner-Kareem, NP
• Vedic ABA LLC
• Jennifer Vega
• Jayashree Venkatesh, MD
• Village Podiatry Group, LLC.
• Vital Essence Counseling

• Physical Therapy Assistant in Sugar Hill, GA
• Providers in Sugar Hill, GA by specialty
• Physical Therapy Assistant in Georgia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.