Active NPI
Jenna Hearn
- Physical Therapist
- Dunwoody, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010159
- Practice address
- 6323 Charleston PL
Dunwoody, GA 30338-6474 - Phone
- (832) 265-4069
- NPI assigned
- Jan 8, 2013
- Last updated
- Jan 8, 2013
- 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 | PT010159 | GA | Primary |
Addresses
Primary practice location
6323 Charleston PL
Dunwoody, GA 30338-6474
Mailing address
6323 Charleston PL
Dunwoody, GA 30338-6474
Phone (832) 265-4069
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, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
110 Horizon Dr
Suite 310
Raleigh, NC 27615-4926
585 Boggs Rd SW
Mableton, GA 30126-4201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Peach Rehab and Wellness Studio | Physical Therapist | Past | Accepting new patients |
Locations
3333 E Cherokee Dr
Canton, GA 30115
Phone (470) 714-6698
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (888) 654-1948
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.
-
- Physical Therapist
- Dawsonville, GA
- NPI 1528419751
-
- Physical Therapist
- Winder, GA
- NPI 1831619337
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
dba Peach Rehab and Wellness
- Physical Therapist
- Atlanta, GA
- NPI 1639834088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1841537016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6323 CHARLESTON PL",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303386474",
"telephone_number": "832-265-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6323 CHARLESTON PL",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303386474",
"telephone_number": "832-265-4069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARN",
"first_name": "JENNA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-08",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunwoody, GA
- Jayda Hayes, RBT
- Healing Hands Recovery (Healing Hands Lab)
- Health Point Wellness Group LLC
- Healthy Beginnings Chiropractic
- Healthy Kids R US PC
- Wendy Heath-Gainer, PH.D.
- Helping Hands Speech & Language Services, LLC
- Erica Henderson
- Jennifer A Herring, M.ED., CCC-SLP
- Tiffany Espinosa Hetzler, LPC, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.