Jacqueline Roelofs, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT014610 Issued in GA

Practice address

141 Sams St Ste a
Decatur, GA 30030-4101

Phone

(404) 296-8511

Fax

(404) 296-8514

NPI assigned

Nov 2, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Jacqueline Joy Physiotherapy and Wellness, LLC

  dba Wired Physiotherapy and Wellness

  • Physical Therapist
  • New Orleans, LA
  • NPI 1861110660
  NPD Authorized official

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1699376228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SAMS ST STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304101",
            "telephone_number": "404-296-8511",
            "fax_number": "404-296-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SAMS ST STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304101",
            "telephone_number": "404-296-8511",
            "fax_number": "404-296-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROELOFS",
        "first_name": "JACQUELINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Okeith Rocker
• Amy Marie Rodatus, MD
• Alicia Nicole Rodgers, R.N.
• Le'Keisha Rodriguez
• Ryan Rodriguez, LPC
• Charley Danielle Rogers, PHARM.D
• Delories Jean Rogers, RN
• Jo Ann Rogers, RRT
• Martha F Rogers, MD
• Steven Rogers, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.