Jenna Peterson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009818 Issued in GA

Practice address

6160 Peachtree Dunwoody Rd NE
Suite B 90
Atlanta, GA 30328-4578

Phone

(770) 673-0093

NPI assigned

Nov 3, 2009

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reid Clinic Sports Physical Therapy and Spine LLC

  • Physical Therapy Clinic/Center
  • Roswell, GA
  • NPI 1609106418
  NPD (past)

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1881921419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE B 90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284578",
            "telephone_number": "770-673-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE B 90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284578",
            "telephone_number": "770-673-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "009818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Peterson
• Eric Peterson
• Gemarco Peterson
• Jacob Harley Peterson, DC
• Jeffrey Justin Peterson, MD
• Judy Garrett Peterson, RPH
• Kathryn Marie Peterson, PHD
• Kristen Peterson, LAT, ATC
• Kristofor Mikael Peterson, DC
• Leigh Ann Peterson, LPC, CEAP, SAP

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.