Pamela Patterson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003829 Issued in GA

Practice address

290 Highway 314 Ste B
Fayetteville, GA 30214-7813

Phone

(404) 994-7727

NPI assigned

Jun 28, 2017

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1639690761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 WAGERS MILL RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302633750",
            "telephone_number": "770-294-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 HIGHWAY 314 STE B",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147813",
            "telephone_number": "404-994-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "PAMELA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mukul Vasant Patharkar, M.D.
• Shakita Nicole Patrick, BS, RBT
• Lameka Nicole Patterson-Bentjen, CNP
• Kaiheem D Patterson, BSN RN
• Paige L Patterson, DMD
• Sha'Quana Patton
• Karen Paul
• Kayode Paul
• Paulk Chiropractic-Fayettevill Inc.
• Eulene Paulk, LCSW

• Physical Therapy Assistant in Fayetteville, GA
• Providers in Fayetteville, 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 28, 2017; 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.