Jennifer Taylor Staples, PT, MS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT007475 Issued in GA

Practice address

262 Jack Walker Rd
Dahlonega, GA 30533-1736

Phone

(706) 429-4574

NPI assigned

Jul 24, 2010

Last updated

May 10, 2024By 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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1279929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1679886287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 JACK WALKER RD",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331736",
            "telephone_number": "706-429-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 JACK WALKER RD",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331736",
            "telephone_number": "706-429-4574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "477 Prominence Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305346377",
            "country_code": "US",
            "telephone_number": "706-429-4574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "JENNIFER",
        "middle_name": "TAYLOR",
        "credential": "PT, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-24",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT007475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L. Sockwell, D.M.D.
• Solutions for Growth, Inc.
• Gary Donald Souders, LPC
• Southern Health Corporation of Dahlonega, Inc (Chestatee Medical Group)
• Southwind Agency, Inc. (All About Feet)
• Noah Steinberg
• Tara Stevens, ATC
• Benjamin Collin Stong, M.D.
• Gary Hodges Sullivan, LPC
• Summit Pediatric Therapy LLC

• Pediatric Physical Therapist in Dahlonega, GA
• Providers in Dahlonega, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.