Individual provider Active NPI

Ginia Patrice O'Steen-Johnson, LPTA, BS,MBA

  • Physical Therapy Assistant
  • Folkston, GA
National Provider Identifier
1770827222
Registry record updated Nov 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA002848 Issued in GA
Practice address
36261 Okefenokee Dr
Folkston, GA 31537-7853
Phone
(912) 496-7396
Fax
(912) 496-2087
NPI assigned
Nov 23, 2012
Last updated
Nov 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA002848 GA Primary
Physical Therapy Assistant 225200000X PTA16663 FL

Addresses

Primary practice location

36261 Okefenokee Dr
Folkston, GA 31537-7853

Mailing address

1320 Spring Lake Dr
Folkston, GA 31537-8720
Phone (904) 710-1391

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)
Not enrolled
Credentials
Bachelor of Science, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
PTA16663FLMDPhysical Therapy Assistant
PTA002848GAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353628800000",
    "number": "1770827222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 SPRING LAKE DR",
            "city": "FOLKSTON",
            "state": "GA",
            "postal_code": "315378720",
            "telephone_number": "904-710-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36261 OKEFENOKEE DR",
            "city": "FOLKSTON",
            "state": "GA",
            "postal_code": "315377853",
            "telephone_number": "912-496-7396",
            "fax_number": "912-496-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'STEEN-JOHNSON",
        "first_name": "GINIA",
        "middle_name": "PATRICE",
        "credential": "LPTA, BS,MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA002848",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA16663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folkston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.