Yolonda Jefferson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005632 Issued in GA

Practice address

455 Ethridge Dr NW
Kennesaw, GA 30144-6694

Phone

(770) 517-6733

NPI assigned

Feb 28, 2008

Last updated

Jan 8, 2013By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1558530188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ETHRIDGE DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ETHRIDGE DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446694",
            "telephone_number": "770-517-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "YOLONDA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "005632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Nirva Jean-Louis, FNP-C
• Magalie Jeanty
• Jeff L. Rodgers, DMD, PC
• Karen Maria Jefferson
• Kendall Denise Jefferson, M.D.
• Amber Jenkins
• Jaime Laine Jenkins, LPC
• Justin Jenkins, DC
• Tony L Jenkins
• Matthew Christopher Jerris, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.