Active NPI
Jenifer Breshears Markley, PT, DPT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1871883637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006840
- Practice address
- 2150 La Dawn LN NW
Atlanta, GA 30318-1930 - Phone
- (404) 314-5505
- NPI assigned
- Apr 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | PT006840 | GA | Primary |
Addresses
Primary practice location
2150 La Dawn LN NW
Atlanta, GA 30318-1930
Mailing address
2150 La Dawn LN NW
Atlanta, GA 30318-1930
Phone (404) 314-5505
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 |
|---|---|---|---|
| PT006840 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay Pediatric Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Atlanta, GA
- NPI 1255613303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1871883637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 LA DAWN LN NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303181930",
"telephone_number": "404-314-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 LA DAWN LN NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303181930",
"telephone_number": "404-314-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKLEY",
"first_name": "JENIFER",
"middle_name": "BRESHEARS",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-13",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT006840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.