Joyanna Hope Blake, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT04006 Issued in GA

Practice address

502 Gi Maddox Pkwy
Unit E
Chatsworth, GA 30705-3222

Phone

(706) 695-9699

Fax

(706) 695-1623

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Joyanna Hope Freeman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Advance Rehabilitation and Consulting

  • Physical Therapist
  • Rome, GA
  • NPI 1174518682
  NPD (past)
• Independent Physical Therapy of Georgia, LLC

  • Physical Therapy Clinic/Center
  • Woodstock, GA
  • NPI 1912950569
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1376580217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "706-802-1991",
            "fax_number": "706-802-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 GI MADDOX PKWY",
            "address_2": "UNIT E",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307053222",
            "telephone_number": "706-695-9699",
            "fax_number": "706-695-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "JOYANNA",
        "middle_name": "HOPE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT04006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYANNA",
            "last_name": "FREEMAN",
            "middle_name": "HOPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Davena Ann Baxter-Baggett, LCSW
• Molly Marie Bearden, LPN
• Jaime Beckler
• Bio-Medical Applications of Georgia, Inc.
• Cassie Black
• Tommy D Bledsoe, M.D.
• Wanda Kay Brady
• Kirasten G Brasfield, MD
• Delise Rose Bravo-Bussey, CCC-SLP
• Victoria Rose Brock, FNP-C

• All providers in Chatsworth, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.