Jan Carver, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA001663 Issued in GA

Practice address

1451 Newton Dr
Tifton, GA 31794-3752

Phone

(229) 382-1665

NPI assigned

Jun 5, 2019

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1447818364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 JACKS WAY",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317936415",
            "telephone_number": "229-402-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 NEWTON DR",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943752",
            "telephone_number": "229-382-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "JAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA001663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Careconnect Health, Inc.
• Careconnect Health, Inc.
• Brandy Carr, NP
• Vicy Wiggins Carroll, MN, RN, NP-C
• Paul Thomas Cartwright, MD
• Sherrie Carver, NP-C
• Abby Cato, RPH
• Faith Causbey, NP
• Jake Cavenaugh
• Clinton Matthew Cawley, MD

• Physical Therapy Assistant in Tifton, GA
• Providers in Tifton, 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 Jun 5, 2019; 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.