Active NPI
Jessica Marie Gray Frankum, PTA
- Physical Therapy Assistant
- Savannah, GA
National Provider Identifier
1790352896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA003095
- Practice address
- 7410 Skidaway Rd
Savannah, GA 31406-6446 - Phone
- (912) 650-1830
- NPI assigned
- Jun 7, 2021
- Last updated
- Jun 7, 2021
- 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 Therapy Assistant | 225200000X | PTA003095 | GA | Primary |
Addresses
Primary practice location
7410 Skidaway Rd
Savannah, GA 31406-6446
Mailing address
69 Brown Pelican Dr
Savannah, GA 31419-2954
Phone (912) 547-5752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA003095 | Other | GA | PTA LISCENCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jgray1@ageility.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA003095 | GA | MD | Physical Therapy Assistant |
Interoperability endpoints
- jgray1@ageility.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1790352896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 BROWN PELICAN DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314192954",
"telephone_number": "912-547-5752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7410 SKIDAWAY RD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314066446",
"telephone_number": "912-650-1830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKUM",
"first_name": "JESSICA",
"middle_name": "MARIE GRAY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-07",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA003095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA LISCENCE",
"identifier": "PTA003095",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jgray1@ageility.com",
"affiliation": "N",
"endpointDescription": "Work email address",
"address_1": "7410 Skidaway Rd",
"city": "Savannah",
"state": "GA",
"country_code": "US",
"postal_code": "314066446",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.