Jasmine Lozano, PT, DPT

Individual provider Active NPI Physical Therapist · Hapeville, GA

NPI 1366199010 · NPPES record last updated Mar 3, 2022

Key facts

NPI
1366199010
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT015789 (GA)
Practice address
3580 Atlanta Ave
Hapeville, GA 30354-1706
Phone
(404) 768-3351
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT015789GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Health Centers of Georgia Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X
Physical Therapist 225100000X PT015789 GA Yes

Addresses

Primary practice location

3580 Atlanta Ave
Hapeville, GA 30354-1706

Mailing address

3205 Cumberland Blvd SE Unit 230
Atlanta, GA 30339-4370
Phone (678) 267-0841

Other providers in Hapeville, GA

All providers in Hapeville, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.