Individual provider Active NPI

William R Jenkins Jr., PT

  • Physical Therapist
  • Sylvester, GA
National Provider Identifier
1821131533
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002447 Issued in GA
Practice address
1009 W Franklin St
Sylvester, GA 31791-7174
Phone
(229) 821-3892
Fax
(229) 821-3893
NPI assigned
Feb 14, 2007
Last updated
Jan 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT002447 GA Primary

Addresses

Primary practice location

1009 W Franklin St
Sylvester, GA 31791-7174

Mailing address

PO Box 846
Sylvester, GA 31791-0846
Phone (229) 821-3892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160829002527 GA Practitioner - Physical Therapist in Private Practice 0749446912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1009 W Franklin St
Sylvester, GA 31791-7174
Phone (229) 821-3892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Georgia Therapy, Inc Physical Therapist CurrentSince Aug 1, 2016 Accepting new patients
South Georgia Physical Therapy LLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Phoebe Putney Memorial Hospital Inc Past Accepting new patients
S&S Therapy Physical Therapist Past Accepting new patients

Locations

1009 W Franklin St
Sylvester, GA 31791
Phone (229) 206-0042

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1821131533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317910846",
            "telephone_number": "229-821-3892",
            "fax_number": "229-821-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W FRANKLIN ST",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317917174",
            "telephone_number": "229-821-3892",
            "fax_number": "229-821-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT002447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvester, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.

Verify at the official NPI Registry.