Jan Roland Contreras Renolayan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012646 Issued in GA

Practice address

225 Hospital St
Plains, GA 31780-5544

Phone

(229) 824-7796

NPI assigned

Aug 20, 2021

Last updated

Aug 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1346916194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 SPRINGDALE CT APT I5",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071625",
            "telephone_number": "706-847-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL ST",
            "city": "PLAINS",
            "state": "GA",
            "postal_code": "317805544",
            "telephone_number": "229-824-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENOLAYAN",
        "first_name": "JAN ROLAND",
        "middle_name": "CONTRERAS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.