Jessica Powley Reale, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6199 Issued in SC

Practice address

1505 Johnson Ferry Rd Ste 175
Marietta, GA 30062-9109

Phone

(770) 415-4815

NPI assigned

Jul 14, 2010

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

• Jessica N Powley Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

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.

• Southern Pelvic Health, LLC

  • Physical Therapy Clinic/Center
  • Marietta, GA
  • NPI 1528616190

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Greenville Proaxis Therapy, LLC

  dba ATI Physical Therapy of Greenville

  • Physical Therapist
  • Greenville, SC
  • NPI 1669457859
  NPD (past)
• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  NPD (past)

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1467765834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 JOHNSON FERRY RD STE 175",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 JOHNSON FERRY RD STE 175",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629109",
            "telephone_number": "770-415-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALE",
        "first_name": "JESSICA",
        "middle_name": "POWLEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "POWLEY",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Molly Anna Raynor
• Peter Keith Re, M.D.
• Reach Chiropractic LLC
• Reach Higher Psychological Services LLC
• Victoria Reaid, RBT
• Cristina Reale', NP-C
• Jeremy Roy Reardon, MD, MPH
• Reboot Psychotherapy LLC
• Christopher Adam Rechter, D.C.
• Rebecca Recinos

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.