Brenna Jarvis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003375 Issued in GA

Practice address

1043 Washington Rd
Thomson, GA 30824-7318

Phone

(706) 597-1190

NPI assigned

Dec 15, 2014

Last updated

Dec 15, 2014By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1306244975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 N LEG RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094451",
            "telephone_number": "812-243-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 WASHINGTON RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308247318",
            "telephone_number": "706-597-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "BRENNA",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003375",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004984A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA PTA LICENSE NUMBER",
            "identifier": "PTA003375",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Carroll Hughes, DDS PC
• Winston Hugh Hunt, P.A.
• Independent Physical Therapy of Ga, LLC
• Kenneth Isham Jr., PHARMD
• Janika Ivey
• Jim Capps Therapy Services, Inc.
• John Cherni DC, PC
• Vernon John, DRUG/DNA COLLECTOR
• La Dona C Johnson- Reeves, HOME CARE PROVIDER
• Shawitekia Johnson

• Physical Therapy Assistant in Thomson, GA
• Providers in Thomson, 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 Dec 15, 2014; 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.