Jennifer Smiles, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004997 Issued in GA

Practice address

965 Piedmont Rd NE Ste 200
Marietta, GA 30066-5493

Phone

(770) 575-2212

Fax

(770) 575-2547

NPI assigned

Sep 7, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Leger Therapy Services Inc.

  • Physical Therapy Clinic/Center
  • Fayetteville, GA
  • NPI 1659327666
  NPD

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1386420057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 303",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147636",
            "telephone_number": "770-716-8885",
            "fax_number": "770-716-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 PIEDMONT RD NE STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665493",
            "telephone_number": "770-575-2212",
            "fax_number": "770-575-2547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Bombay Ln",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300765826",
            "country_code": "US",
            "telephone_number": "678-878-2503",
            "fax_number": "678-878-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Lanier Ave W Ste 303",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302147636",
            "country_code": "US",
            "telephone_number": "770-716-8885",
            "fax_number": "770-716-7425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMILES",
        "first_name": "JENNIFER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Small, DPT
• Carolyn Ruth Smallwood, D.O.
• Nicole Smelser, PT
• James Stewart Smeltzer, MD, FACOG, SMFM
• Smile 365 Dental
• Marilyn Jennifer Smith-Haynes, COTA, CAPS
• Almira M Smith, PT
• Andrew Christian Smith, DO
• Anna Ford Smith, LPC, ATR-BC
• Ashley Earldaniel Smith, DMD

• Physical Therapy Assistant in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.