Active NPI
Jason T. Marchant, DPT, ATC
- Physical Therapist
- Milledgeville, GA
National Provider Identifier
1720330913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010696
- Practice address
- 571 Hammock Road Suite 106
Milledgeville, GA 31061-7185 - Phone
- (478) 452-6252
- Fax
- (478) 452-6255
- NPI assigned
- Oct 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010696 | GA | Primary |
| Athletic Trainer | 2255A2300X | PT010696 | GA |
Addresses
Primary practice location
571 Hammock Road Suite 106
Milledgeville, GA 31061-7185
Mailing address
571 Hammock Road Suite 106
Milledgeville, GA 31061-7185
Phone (478) 452-6252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010696 | GA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Lakes Physcial Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Milledgeville, GA
- NPI 1538223490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1720330913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 HAMMOCK ROAD SUITE 106",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310617185",
"telephone_number": "478-452-6252",
"fax_number": "478-452-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 HAMMOCK ROAD SUITE 106",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310617185",
"telephone_number": "478-452-6252",
"fax_number": "478-452-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHANT",
"first_name": "JASON",
"middle_name": "T.",
"name_prefix": "Mr.",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-11",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010696",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "PT010696",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.