Jennifer Bragg Gross, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH11844 Issued in AL

Practice address

3855 Shallowford Rd Ste 415
Marietta, GA 30062-4197

Phone

(678) 352-0828

Fax

(678) 352-0829

NPI assigned

Feb 24, 2017

Last updated

Jun 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Ruth Bragg Former name

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": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1558801555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 SHALLOWFORD RD STE 415",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624197",
            "telephone_number": "678-352-0828",
            "fax_number": "678-352-0829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Colonial Promenade Pkwy Ste 4400",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350073197",
            "country_code": "US",
            "telephone_number": "205-358-1040",
            "fax_number": "205-358-1041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "742 Main St",
            "address_purpose": "LOCATION",
            "city": "Montevallo",
            "state": "AL",
            "postal_code": "351153713",
            "country_code": "US",
            "telephone_number": "205-664-5863",
            "fax_number": "205-918-8437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Tower Rd NE",
            "address_2": "Ste 140",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300609411",
            "country_code": "US",
            "telephone_number": "770-419-9437",
            "fax_number": "770-419-9443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "JENNIFER",
        "middle_name": "BRAGG",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012767",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRAGG",
            "middle_name": "RUTH",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamie Lynn Bosma Groh, D.O.
• Karleigh Brooke Grondin
• Mark Daniel Gronsbell, M.D.
• Paul David Groover, NP-C
• Clara Elizabeth Gropman, MA, LPC
• Joslyn Gross, DNP
• Timothy Gross, DC
• Josephine Romweber Grote
• Kyle Grubbs, M.D.
• Natalie Grubbs, LPC

• 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 Jun 28, 2024; 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.