Emily Anne Fenneman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004812 Issued in GA

Practice address

423 Covington Ave
Thomasville, GA 31792-5264

Phone

(229) 233-4449

NPI assigned

Feb 16, 2022

Last updated

Feb 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1861147159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 NE FRALEIGH DR",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402161",
            "telephone_number": "850-869-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 COVINGTON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925264",
            "telephone_number": "229-233-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNEMAN",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl Feldman, MD
• Angela Felts, SLP
• Patrick B Fenlon
• Rachel Fennell, PA
• Stephanie S Fennell, MD
• Taylor Ferguson
• Field Medicine, PLLC
• Gloria Jean Filmore, RN
• Elizabeth B Filston, LAPC
• Melody Carol Finley, PT, DPT

• Physical Therapy Assistant in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.