Tasheena Jacques, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017645 Issued in GA

Practice address

560 Thornton Rd Ste 200
Lithia Springs, GA 30122-1656

Phone

(770) 739-5888

NPI assigned

Mar 25, 2025

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • McDonough, GA
  • NPI 1659302966
  NPD (past)

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1689476368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 WYNTHROPE WAY",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302745134",
            "telephone_number": "978-495-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 THORNTON RD STE 200",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221656",
            "telephone_number": "770-739-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "TASHEENA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspire Speech Therapy LLC
• Internal Medicine Associates of West Atlanta, P.C.
• Itsnme2, LLC.
• J. Keith Smith, D.M.D., P.C.
• Angela Jackson
• Ajoke Simbiat James, FNP
• Erica Jasper, MS, LAPC, NCC
• Tia Lanez Jeffers, DDS
• Laquanda Jefferson
• Gregory Jemison

• Physical Therapist in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.