Active NPI
Ava Jakel, PT, DPT
- Physical Therapist
- Peachtree Corners, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017784
- Practice address
- 4941 S Old Peachtree Rd Ste D
Peachtree Corners, GA 30092-3495 - Phone
- (678) 335-2080
- NPI assigned
- Jul 23, 2025
- Last updated
- Jul 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017784 | GA | Primary |
Addresses
Primary practice location
4941 S Old Peachtree Rd Ste D
Peachtree Corners, GA 30092-3495
Mailing address
111 Ivey St
Clermont, GA 30527-1769
Phone (678) 897-3209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4920 Roswell Rd
Suite 36
Atlanta, GA 30342-2636
Phone (404) 464-8300
4941 S Old Peachtree Rd
Suite D
Peachtree Corners, GA 30092-3495
Phone (678) 335-2080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017784 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pt360 Atl LLC | Physical Therapist | Current | Accepting new patients |
| Southeast Rehabilitation Group Inc | Current | Accepting new patients |
Locations
3400 Old Milton Pkwy
Ste C390
Alpharetta, GA 30005
Phone (404) 464-8300
4941 S Old Peachtree Rd
Peachtree Corners, GA 30092
4941 S Old Peachtree Rd
Ste D
Peachtree Corners, GA 30092
Phone (678) 335-2080
875 Mansell Rd
Ste H
Roswell, GA 30076
Phone (678) 821-2170
4920 Roswell Rd
Ste 36
Sandy Springs, GA 30342
Phone (404) 464-8300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Atlanta, GA
- NPI 1366110736
-
- Physical Therapy Clinic/Center
- Roswell, GA
- NPI 1437855830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1740162502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 IVEY ST",
"city": "CLERMONT",
"state": "GA",
"postal_code": "305271769",
"telephone_number": "678-897-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4941 S OLD PEACHTREE RD STE D",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300923495",
"telephone_number": "678-335-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAKEL",
"first_name": "AVA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT017784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.