Individual provider Active NPI

Jason T. Marchant, DPT, ATC

  • Physical Therapist
  • Milledgeville, GA
National Provider Identifier
1720330913
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010696 Issued in GA
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

Updated by the provider on Oct 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT010696GAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.