Individual provider Active NPI

Jayda Liggons

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1346174398
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
875 Mansell Rd Ste H
Roswell, GA 30076-4800
Phone
(678) 821-2170
NPI assigned
Jun 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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 GA Primary

Addresses

Primary practice location

875 Mansell Rd Ste H
Roswell, GA 30076-4800

Mailing address

875 Mansell Rd Ste H
Roswell, GA 30076-4800
Phone (678) 821-2170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Philadelphia College of Osteopathic Medicine, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

340 Saint Claire Dr
Alpharetta, GA 30004-3399

4342 Collingham Trce NE
Marietta, GA 30068-2705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Rehabilitation Group Inc CurrentSince Jul 1, 2026 Accepting new patients

Locations

4941 S Old Peachtree Rd
Ste D
Peachtree Corners, GA 30092
Phone (678) 335-2080

875 Mansell Rd
Ste H
Roswell, GA 30076
Phone (678) 821-2170

Organizations & group practices 1

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": "1781222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1346174398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MANSELL RD STE H",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764800",
            "telephone_number": "678-821-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MANSELL RD STE H",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764800",
            "telephone_number": "678-821-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGGONS",
        "first_name": "JAYDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.