Jennifer L Ferguson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009372 Issued in GA

Practice address

601 Professional Dr
Suite 130
Lawrenceville, GA 30045-7698

Phone

(770) 513-0839

Fax

(770) 513-7850

NPI assigned

Jul 24, 2008

Last updated

Apr 19, 2023By 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 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physiotherapy Associates Inc

  dba Physio-Gwinnett

  • Physical Therapy Clinic/Center
  • Lilburn, GA
  • NPI 1760568257
  Medicare reassignment NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1578728911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PROFESSIONAL DR",
            "address_2": "SUITE 130",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457698",
            "telephone_number": "770-513-0839",
            "fax_number": "770-513-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PROFESSIONAL DR",
            "address_2": "SUITE 130",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457698",
            "telephone_number": "770-513-0839",
            "fax_number": "770-513-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Marie Felten Nuchurch, D.C.
• Tasha Elizabeth Felton Williams, WHCNP
• Abigael Marie Fenbert, PA
• Jamie F. Fendley, D.V.M.
• Nancie Ferdinand, LAPC
• Tamera Naneke Ferguson, LCSW
• Viviane Ferracini Papis
• Mark G. Ferrara, M.D.
• Naomi Fervil, APC
• Fettii

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.