Jered Robert Schleicher, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012792 Issued in GA

Practice address

9050 Peridot Pkwy
Stockbridge, GA 30281-9417

Phone

(770) 474-0540

NPI assigned

Mar 31, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Therapy Management LLC

  • Assisted Living Facility
  • Henderson, TX
  • NPI 1376416875
  NPD

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1750813416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 BEREAN AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161101",
            "telephone_number": "440-749-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PERIDOT PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819417",
            "telephone_number": "770-474-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEICHER",
        "first_name": "JERED",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "35125",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "018191",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297506",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "012792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone Scales
• Schilling Cosmetic Surgery & Aesthetics, LLC
• Schilling Healthcare Enterprises
• John P Schilling, MD
• Andrew Clarence Schillinger, PT, DPT
• Todd A Schmidt, M.D.
• Theresa Ann Schornack, NURSE PRACTITIONER
• Denise M. Schroeder
• Thomas Augustin Scofield, MD
• Alicia Nicole Scott, PMHNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.