Individual provider Active NPI

Jillian Elliott, DPT

  • Physical Therapist
  • Duluth, GA
National Provider Identifier
1326364142
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9787 Issued in GA
Practice address
10090 Medlock Bridge Rd
Ste 100
Duluth, GA 30097-4428
Phone
(770) 813-5575
Fax
(770) 813-0032
NPI assigned
Apr 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT9787 GA Primary

Addresses

Primary practice location

10090 Medlock Bridge Rd
Ste 100
Duluth, GA 30097-4428

Mailing address

10090 Medlock Bridge Rd
Suite 100
Duluth, GA 30097-4428
Phone (770) 813-5575

Other names 1

  • Jillian Mary Burns Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627000924 GA Practitioner - Physical Therapist in Private Practice 1759894348 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT9787GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Georgia, LLC Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1326364142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974428",
            "telephone_number": "770-813-5575",
            "fax_number": "770-813-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 MEDLOCK BRIDGE RD",
            "address_2": "STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974428",
            "telephone_number": "770-813-5575",
            "fax_number": "770-813-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JILLIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT9787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "BURNS",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.